Active NPI
Ada Liannys Alfonso, MS
- Family Nurse Practitioner
- Doral, FL
National Provider Identifier
1285138610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN11012300
- Practice address
- 10833 NW 83Rd St Unit 7
Doral, FL 33178-1686 - Phone
- (917) 454-8697
- NPI assigned
- Mar 21, 2018
- Last updated
- Jun 21, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 934269 | TX | |
| Family Nurse Practitioner | 363LF0000X | APRN11012300 | FL | Primary |
Addresses
Primary practice location
10833 NW 83Rd St Unit 7
Doral, FL 33178-1686
Mailing address
7825 NW 107 TH Ave, Apt 207
Doral, FL 33178-1142
Phone (281) 201-7507
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 934269 | TX | MD | Registered Nurse |
| APRN11012300 | FL | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687305600000",
"number": "1285138610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7825 NW 107 TH AVE, APT 207",
"city": "DORAL",
"state": "FL",
"postal_code": "331781142",
"telephone_number": "281-201-7507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10833 NW 83RD ST UNIT 7",
"city": "DORAL",
"state": "FL",
"postal_code": "331781686",
"telephone_number": "917-454-8697"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALFONSO",
"first_name": "ADA",
"middle_name": "LIANNYS",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-21",
"last_updated": "2023-06-21",
"certification_date": "2021-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TX",
"license": "934269",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11012300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Doral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.