Individual provider Active NPI

Marlene Alix

  • Family Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1326413931
Registry record updated Dec 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9282697 Issued in FL
Practice address
12108 Greco Dr.
Orlando, FL 32824
Phone
(407) 721-4579
NPI assigned
Dec 8, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9282697 FL Primary

Addresses

Primary practice location

12108 Greco Dr.
Orlando, FL 32824

Mailing address

12108 Greco Dr.
Orlando, FL 32824
Phone (407) 721-4579

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
I20231218001541 FL Practitioner - Nurse Practitioner 3870942717 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Citrus Ridge Medical Centers IncGroup PAC ID 2365608452, 3 clinicians

Practice addresses (Care Compare)

115 Lake Davenport Blvd
Davenport, FL 33897-9440
Phone (863) 256-5030

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9282697FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Citrus Ridge Medical Centers, Inc CurrentSince Oct 4, 2023 Accepting new patients
Orlando Health, Inc. Current Accepting new patients

Locations

115 Lake Davenport Blvd
Davenport, FL 33897
Phone (863) 256-5030

Interoperability endpoints

  • Direct secure messaging: malix28206@orlandohealth.medalliesdirect.net

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": "1449532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449532800000",
    "number": "1326413931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12108 GRECO DR.",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32824",
            "telephone_number": "407-721-4579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12108 GRECO DR.",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32824",
            "telephone_number": "407-721-4579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALIX",
        "first_name": "MARLENE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-08",
        "last_updated": "2015-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9282697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.