Individual provider Active NPI

Alix Michelle Lemmon Guiette

  • Nurse Practitioner
  • Crestview, FL
National Provider Identifier
1275289837
Registry record updated Jan 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN110020973 Issued in FL
Practice address
332 Medcrest Dr
Crestview, FL 32536-6440
Phone
(850) 682-0032
NPI assigned
Feb 23, 2022
Last updated
Jan 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN110020973 FL Primary
Registered Nurse 163W00000X RN9398583 FL

Addresses

Primary practice location

332 Medcrest Dr
Crestview, FL 32536-6440

Mailing address

332 Medcrest Dr
Crestview, FL 32536-6440

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
I20260127003869 FL Practitioner - Nurse Practitioner 7113405655 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiothoracic and Vascular Surgical Associates PAGroup PAC ID 5395725188, 85 clinicians

Practice addresses (Care Compare)

332 Medcrest Dr
Crestview, FL 32536-6440
Phone (850) 912-8847

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN9398583FLMDRegistered Nurse
APRN110020973FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiothoracic & Vascular Surgical Associates PA Nurse Practitioner CurrentSince Dec 15, 2025 Accepting new patients

Locations

1502 N McKenzie St
Ste 110
Foley, AL 36535
Phone (251) 943-1530

332 Medcrest Dr
#B
Crestview, FL 32536
Phone (850) 652-9122

332 Medcrest Dr
Crestview, FL 32536
Phone (850) 226-7322

1032 Mar Walt Dr
Unit 250
Ft Walton Bch, FL 32547
Phone (850) 682-0032

3575 Gulf Breeze Pkwy
Gulf Breeze, FL 32563
Phone (850) 332-6339

1824 King St
Ste 200
Jacksonville, FL 32204
Phone (904) 384-3343

7720 US Highway 98 W
Ste 240
Miramar Beach, FL 32550
Phone (850) 502-5989

4585 E Highway 20
Niceville, FL 32578
Phone (850) 678-0184

4451 Bayou Blvd
Pensacola, FL 32503
Phone (850) 416-7619

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": "1645574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768348800000",
    "number": "1275289837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 MEDCREST DR",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325366440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 MEDCREST DR",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325366440",
            "telephone_number": "850-682-0032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUIETTE",
        "first_name": "ALIX",
        "middle_name": "MICHELLE LEMMON",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-23",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN110020973",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9398583",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crestview, FL

Sources for this page

Verify at the official NPI Registry.