Active NPI
Gary James Alhemovich, NP
- Psychiatric/Mental Health Nurse Practitioner
- Tampa, FL
National Provider Identifier
1295590610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- APRN11031034
- Practice address
- 5510 N Hesperides St
Tampa, FL 33614-5414 - Phone
- (813) 467-6111
- NPI assigned
- Feb 15, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APRN11031034 | FL | Primary |
Addresses
Primary practice location
5510 N Hesperides St
Tampa, FL 33614-5414
Mailing address
11619 Brickyard Pond LN
Windermere, FL 34786-6089
Phone (407) 252-2257
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)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707955200000",
"number": "1295590610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11619 BRICKYARD POND LN",
"city": "WINDERMERE",
"state": "FL",
"postal_code": "347866089",
"telephone_number": "407-252-2257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5510 N HESPERIDES ST",
"city": "TAMPA",
"state": "FL",
"postal_code": "336145414",
"telephone_number": "813-467-6111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALHEMOVICH",
"first_name": "GARY",
"middle_name": "JAMES",
"name_prefix": "Mr.",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-02-15",
"last_updated": "2024-02-15",
"certification_date": "2024-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "FL",
"license": "APRN11031034",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.