Individual provider Active NPI

Alicia Grigsby, APRN

  • Family Nurse Practitioner
  • Riverview, FL
National Provider Identifier
1265929848
Registry record updated Jan 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN9304730 Issued in FL
Practice address
11317 Elk Mountain Drive
Riverview, FL 33578
Phone
(813) 898-0226
Fax
(813) 898-0239
NPI assigned
Apr 18, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X ARNP9304730 FL
Family Nurse Practitioner 363LF0000X APRN9304730 FL Primary

Addresses

Primary practice location

11317 Elk Mountain Drive
Riverview, FL 33578

Mailing address

11317 Elk Mountain Drive
Riverview, FL 33579
Phone (813) 898-0226

Other practice location 1

6958 Towering Spruce Dr
Riverview, FL 33578-8865
Phone (813) 735-7521

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
I20190220002689 FL Practitioner - Nurse Practitioner 6406194240 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9304730FLMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Medical Clinic LLC CurrentSince Apr 16, 2019 Accepting new patients
Florida Medical Clinic, LLC CurrentSince Apr 16, 2019 Accepting new patients
Florida NP Healthcare Clinic CurrentSince Feb 8, 2023 Accepting new patients

Locations

2020 Town Center Blvd
Ste B
Brandon, FL 33511
Phone (813) 315-1500

38135 Market Square Dr
Zephyrhills, FL 33542
Phone (352) 567-0188

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": "1524009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675036800000",
    "number": "1265929848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11317 ELK MOUNTAIN DRIVE",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "33579",
            "telephone_number": "813-898-0226",
            "fax_number": "813-898-0239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11317 ELK MOUNTAIN DRIVE",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "33578",
            "telephone_number": "813-898-0226",
            "fax_number": "813-898-0239"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6958 Towering Spruce Dr",
            "address_purpose": "LOCATION",
            "city": "Riverview",
            "state": "FL",
            "postal_code": "335788865",
            "country_code": "US",
            "telephone_number": "813-735-7521",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRIGSBY",
        "first_name": "ALICIA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-18",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "ARNP9304730",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9304730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverview, FL

Sources for this page

Verify at the official NPI Registry.