Individual provider Active NPI

Alacia Brittania Wims

  • Nurse's Aide
  • Jacksonville, FL
National Provider Identifier
1306400544
Registry record updated Apr 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
License
CNA283612 Issued in FL
Practice address
7539 Proxima Rd
Jacksonville, FL 32210-6796
Phone
(904) 431-1759
NPI assigned
Apr 23, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's AideGroup: 193200000X MULTI-SPECIALTY GROUP 376K00000X CNA283612 FL Primary

Addresses

Primary practice location

7539 Proxima Rd
Jacksonville, FL 32210-6796

Mailing address

7539 Proxima Rd
Jacksonville, FL 32210-6796
Phone (904) 431-1759

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

State licenses

LicenseStateTypeSpecialty
CNA283612FLMDNurse's Aide

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1555977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555977600000",
    "number": "1306400544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7539 PROXIMA RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322106796",
            "telephone_number": "904-431-1759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7539 PROXIMA RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322106796",
            "telephone_number": "904-431-1759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIMS",
        "first_name": "ALACIA",
        "middle_name": "BRITTANIA",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-23",
        "last_updated": "2019-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse's Aide",
            "state": "FL",
            "license": "CNA283612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.