Individual provider Active NPI

Alexis Jeannette Ruiz, APRN

  • Family Nurse Practitioner
  • Safety Harbor, FL
National Provider Identifier
1225593684
Registry record updated Aug 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11001568 Issued in FL
Practice address
1803 Briar Creek Blvd
Safety Harbor, FL 34695
Phone
(727) 216-0505
NPI assigned
Feb 8, 2019
Last updated
Aug 19, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11001568 FL Primary

Addresses

Primary practice location

1803 Briar Creek Blvd
Safety Harbor, FL 34695

Mailing address

1803 Briar Creek Blvd
Safety Harbor, FL 34695-4696
Phone (727) 216-0505

Other practice location 1

2666 N McMullen Booth Rd Apt 1027
Clearwater, FL 33761-4047
Phone (727) 482-6776

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190920002877 FL Practitioner - Nurse Practitioner 2365772183 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Polmed PAGroup PAC ID 2961419874, 2 clinicians
Mana Health Partners PAGroup PAC ID 3971952813, 102 clinicians

Practice addresses (Care Compare)

1803 Briar Creek Blvd
Safety Harbor, FL 34695-4696
Phone (727) 216-0505

9035 Bryan Dairy Rd
Largo, FL 33777-1104
Phone (732) 719-5039

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Polmed PA CurrentSince Jul 30, 2019 Accepting new patients
Mana Health Partners PA CurrentSince Aug 19, 2025 Accepting new patients

Locations

1803 Briar Creek Blvd
Safety Harbor, FL 34695
Phone (727) 216-0505

1507 S Tuttle Ave
Sarasota, FL 34239
Phone (941) 366-0336

9035 Bryan Dairy Rd
Seminole, FL 33777
Phone (727) 395-9520

338 Whitesville Rd
Ste 103
Jackson, NJ 08527

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1549584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566172800000",
    "number": "1225593684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1803 BRIAR CREEK BLVD",
            "city": "SAFETY HARBOR",
            "state": "FL",
            "postal_code": "346954696",
            "telephone_number": "727-216-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1803 BRIAR CREEK BLVD",
            "city": "SAFETY HARBOR",
            "state": "FL",
            "postal_code": "34695",
            "telephone_number": "727-216-0505"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2666 N McMullen Booth Rd Apt 1027",
            "address_purpose": "LOCATION",
            "city": "Clearwater",
            "state": "FL",
            "postal_code": "337614047",
            "country_code": "US",
            "telephone_number": "727-482-6776",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUIZ",
        "first_name": "ALEXIS",
        "middle_name": "JEANNETTE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-08",
        "last_updated": "2019-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11001568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Safety Harbor, FL

Sources for this page

Verify at the official NPI Registry.