Individual provider Active NPI

Alicia Arkell, APRN

  • Primary Care Nurse Practitioner
  • Port Orange, FL
National Provider Identifier
1255994950
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
APRN11002608 Issued in FL
Practice address
735 Dunlawton Ave
Port Orange, FL 32127-9226
Phone
(386) 301-4415
NPI assigned
Apr 17, 2019
Last updated
Oct 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X APRN11002608 FL Primary

Addresses

Primary practice location

735 Dunlawton Ave
Port Orange, FL 32127-9226

Mailing address

703 Coral Reef Way
Daytona Beach, FL 32124-1158
Phone (502) 494-4491

Other identifiers 1

IdentifierTypeStateIssuer
102652OtherWVRNWV

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
I20241112004595 FL Practitioner - Nurse Practitioner 1557895679 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
D.H. Medical, LLC CurrentSince Oct 1, 2024 Accepting new patients

Locations

226 N Nova Rd
Ormond Beach, FL 32174
Phone (386) 235-1489

735 Dunlawton Ave
Port Orange, FL 32127
Phone (386) 872-5190

Organizations & group practices 1

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": "1555459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1255994950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 CORAL REEF WAY",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321241158",
            "telephone_number": "502-494-4491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 DUNLAWTON AVE",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321279226",
            "telephone_number": "386-301-4415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARKELL",
        "first_name": "ALICIA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-17",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "APRN11002608",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RNWV",
            "identifier": "102652",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Orange, FL

Sources for this page

Verify at the official NPI Registry.