Individual provider Active NPI

Alexandra Muir Beuttell, DNP

  • Nurse Practitioner
  • Palm Bay, FL
National Provider Identifier
1306452693
Registry record updated Aug 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11010777 Issued in FL
Practice address
1326 Malabar Rd SE Ste 1
Palm Bay, FL 32907-2502
Phone
(321) 727-7992
Fax
(321) 727-7664
NPI assigned
Sep 22, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2026

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 88672 NM
Nurse Practitioner 363L00000X APRN-5291 HI
Nurse Practitioner 363L00000X 11010777 FL Primary
Nurse Practitioner 363L00000X AP61664190 WA
Nurse Practitioner 363L00000X ARNP11010777 FL
Family Nurse Practitioner 363LF0000X 38330 TN
Nurse Practitioner 363L00000X 31881 SC

Addresses

Primary practice location

1326 Malabar Rd SE Ste 1
Palm Bay, FL 32907-2502

Mailing address

PO Box 1510
Melbourne, FL 32902-1510
Phone (321) 727-7992

Other practice location 1

3140 Suntree Blvd Ste 4
Rockledge, FL 32955-5789
Phone (321) 727-7992

Other practice location 2

880 SW 145th Ave Ste 202
Pembroke Pines, FL 33027-6171
Phone (866) 849-0692

Other practice location 3

1314 Oak St
Melbourne, FL 32901-3111
Phone (321) 727-7992

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
I20210106002394 FL Practitioner - Nurse Practitioner 2062825219 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11010777FLMDNurse Practitioner
ARNP11010777FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Independent Lung Associates, PA CurrentSince Jan 25, 2021 Accepting new patients

Locations

1314 Oak St
Melbourne, FL 32901
Phone (321) 610-3907

1326 Malabar Rd SE
Ste 1
Palm Bay, FL 32907
Phone 3217277992 ext. 114

1425 Malabar Rd NE
Palm Bay, FL 32907
Phone (321) 434-8000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12189/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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": "1600732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786665600000",
    "number": "1306452693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1510",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329021510",
            "telephone_number": "321-727-7992",
            "fax_number": "321-727-7664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1326 MALABAR RD SE STE 1",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329072502",
            "telephone_number": "321-727-7992",
            "fax_number": "321-727-7664"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3140 Suntree Blvd Ste 4",
            "address_purpose": "LOCATION",
            "city": "Rockledge",
            "state": "FL",
            "postal_code": "329555789",
            "country_code": "US",
            "telephone_number": "321-727-7992",
            "fax_number": "321-727-7664",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "880 SW 145th Ave Ste 202",
            "address_purpose": "LOCATION",
            "city": "Pembroke Pines",
            "state": "FL",
            "postal_code": "330276171",
            "country_code": "US",
            "telephone_number": "866-849-0692",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1314 Oak St",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329013111",
            "country_code": "US",
            "telephone_number": "321-727-7992",
            "fax_number": "321-727-7664",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEUTTELL",
        "first_name": "ALEXANDRA",
        "middle_name": "MUIR",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-22",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NM",
            "license": "88672",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "HI",
            "license": "APRN-5291",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11010777",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP61664190",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP11010777",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "38330",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "31881",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Bay, FL

Sources for this page

Verify at the official NPI Registry.