Individual provider Active NPI

Allexis Bemman

  • Family Nurse Practitioner
  • Lakeland, FL
National Provider Identifier
1265002315
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11016469 Issued in FL
Practice address
1920 Lakeland Hills Blvd
Lakeland, FL 33805-2902
Phone
(863) 683-4661
NPI assigned
Jun 30, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN9543381 FL
Family Nurse Practitioner 363LF0000X F07210042 FL
Family Nurse Practitioner 363LF0000X APRN11016469 FL Primary

Addresses

Primary practice location

1920 Lakeland Hills Blvd
Lakeland, FL 33805-2902

Mailing address

3758 Crystal Beach Rd
Winter Haven, FL 33880-4915
Phone (443) 204-2611

Other practice location 1

550 Pope Ave NW Ste 200
Winter Haven, FL 33881-4679
Phone (863) 299-2636

Other practice location 2

2985 Drew St
Clearwater, FL 33759-3012
Phone (443) 204-2611

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
I20220322000146 FL Practitioner - Nurse Practitioner 9830584283 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN9543381FLMDRegistered Nurse
APRN11016469FLMDFamily Nurse Practitioner
F07210042FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Medical Physicians, LLC CurrentSince Dec 18, 2021 Accepting new patients
Saltzman, Tanis, Pittell, Levin and Jacobson Past Accepting new patients
Premier Heart and Vascular Center, PA Past Accepting new patients

Locations

3240 S Florida Ave
Ste 101
Lakeland, FL 33803
Phone (863) 644-7337

3240 S Florida Ave
Lakeland, FL 33803
Phone (863) 646-4000

550 Pope Ave NW
Ste 200
Winter Haven, FL 33881
Phone (863) 271-9867

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1625011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701216000000",
    "number": "1265002315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3758 CRYSTAL BEACH RD",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338804915",
            "telephone_number": "443-204-2611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 LAKELAND HILLS BLVD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338052902",
            "telephone_number": "863-683-4661"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 Pope Ave NW Ste 200",
            "address_purpose": "LOCATION",
            "city": "Winter Haven",
            "state": "FL",
            "postal_code": "338814679",
            "country_code": "US",
            "telephone_number": "863-299-2636",
            "fax_number": "869-662-5288",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2985 Drew St",
            "address_purpose": "LOCATION",
            "city": "Clearwater",
            "state": "FL",
            "postal_code": "337593012",
            "country_code": "US",
            "telephone_number": "443-204-2611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEMMAN",
        "first_name": "ALLEXIS",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-30",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9543381",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "F07210042",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11016469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

Verify at the official NPI Registry.