Active NPI
Alexis Nicole Hartert, APRN
- Pediatric Nurse Practitioner
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 11014169
- Practice address
- 12871 Citrus Plaza Dr
Tampa, FL 33625-3010 - Phone
- (813) 471-4445
- NPI assigned
- Sep 13, 2021
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 11014169 | FL | Primary |
Addresses
Primary practice location
12871 Citrus Plaza Dr
Tampa, FL 33625-3010
Mailing address
9305 Bay Club CT
Tampa, FL 33607-5984
Phone (704) 778-2555
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11014169 | FL | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Carolinas Physician Network Inc | Current | Accepting new patients | |
| University Pediatrics | Current | Accepting new patients | |
| University Pediatrics | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| South Lake Pediatrics | Past | Accepting new patients | |
| Carolinas Physicians Network Inc | Past | Accepting new patients |
Locations
101 E Wt Harris Blvd
Ste 1121
Charlotte, NC 28262
Phone (704) 717-2000
14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650
9625 Northcross Center Ct
Huntersville, NC 28078
Phone (704) 801-3450
9625 Northcross Center Ct
Ste 201
Huntersville, NC 28078
Phone (704) 801-3097
Interoperability endpoints
- ahartert2953796@carolinashealthcaresystem.direct-ci.com
Organizations & group practices 7
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.
-
dba Atrium Health Musculoskeletal Institute Orthopedics & Sports Medici
- Orthopaedic Surgery Physician
- Charlotte, NC
- NPI 1437607686
-
dba Atrium Health Levine Children's University Pediatrics
- Pediatrics Physician
- Charlotte, NC
- NPI 1073541124
-
dba Atrium Health Levine Children's Arboretum Pediatrics
- Pediatrics Physician
- Albemarle, NC
- NPI 1902200991
-
dba Atrium Health Diabetes Prevention
- Endocrinology, Diabetes & Metabolism Physician
- Charlotte, NC
- NPI 1437038544
-
- Pediatrics Physician
- Mint Hill, NC
- NPI 1609102649
-
dba Atrium Health Levine Children's Denver Pediatrics
- Pediatrics Physician
- Charlotte, NC
- NPI 1619582343
-
dba Atrium Health Levine Children's South Lake Pediatrics
- Pediatrics Physician
- Huntersville, NC
- NPI 1295766079
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631491200000",
"number": "1326717224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9305 BAY CLUB CT",
"city": "TAMPA",
"state": "FL",
"postal_code": "336075984",
"telephone_number": "704-778-2555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12871 CITRUS PLAZA DR",
"city": "TAMPA",
"state": "FL",
"postal_code": "336253010",
"telephone_number": "813-471-4445"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARTERT",
"first_name": "ALEXIS",
"middle_name": "NICOLE",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-13",
"last_updated": "2021-09-13",
"certification_date": "2021-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "FL",
"license": "11014169",
"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 Sep 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.