Active NPI
Alicia S Allen, APRN
- Psychiatric/Mental Health Nurse Practitioner
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- APRN9313083
- Practice address
- 12724 Gran Bay Pkwy W Ste 410
Jacksonville, FL 32258-9486 - Phone
- (904) 977-5098
- Fax
- (904) 590-8738
- NPI assigned
- Jan 15, 2015
- Last updated
- Feb 8, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | ARNP9313083 | FL | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APRN9313083 | FL | Primary |
| Registered Nurse | 163W00000X | RN9313083 | FL |
Addresses
Primary practice location
12724 Gran Bay Pkwy W Ste 410
Jacksonville, FL 32258-9486
Mailing address
12724 Gran Bay Pkwy W Ste 410
Jacksonville, FL 32258-9486
Phone (904) 977-5098
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, GA, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
66 E Flagler St
Miami, FL 33130-1807
Phone (786) 244-7711
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN9313083 | FL | MD | Registered Nurse |
| ARNP9313083 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Psychiatric/Mental Health | Current | Accepting new patients |
Locations
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
715 Peachtree St NE
Ste 100
Atlanta, GA 30308
Phone (202) 972-4964
8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598
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.
-
- Mental Health Counselor
- Miami, FL
- NPI 1245845932
DC, GA, Psychiatric/Mental Health
-
- Psychiatric/Mental Health Nurse Practitioner
- Jacksonville, FL
- NPI 1316660541
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738972800000",
"number": "1265821052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12724 GRAN BAY PKWY W STE 410",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322589486",
"telephone_number": "904-977-5098",
"fax_number": "904-590-8738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12724 GRAN BAY PKWY W STE 410",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322589486",
"telephone_number": "904-977-5098",
"fax_number": "904-590-8738"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEN",
"first_name": "ALICIA",
"middle_name": "S",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-01-15",
"last_updated": "2025-02-08",
"certification_date": "2025-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "ARNP9313083",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "FL",
"license": "APRN9313083",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "FL",
"license": "RN9313083",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
- Allen Okie MD PA
- Allen Therapy Services, PLLC (Tribe Pediatric Rehabilitation, PLLC)
- Allen Therapy Services, PLLC (Tribe Pediatric Rehabilitation, PLLC)
- Mitchell Allen-Cox, BACHELOR LEVEL
- Alexis Allen
- Andrew Scott Allen, DNP, BSN, RN
- Anna-Marie Holly Allen
- Brione Allen
- Cassandra A Allen, NONE
- Celena W Allen, APRN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.