Individual provider Active NPI

Alexandra Collette, DNP, APRN, FNP-BC

  • Nurse Practitioner
  • Boynton Beach, FL
National Provider Identifier
1366110322
Registry record updated Sep 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11014599 Issued in FL
Practice address
10383 Hagen Ranch Rd Ste 100
Boynton Beach, FL 33437-3782
Phone
(561) 349-7653
NPI assigned
Sep 2, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 11014599 FL Primary

Addresses

Primary practice location

10383 Hagen Ranch Rd Ste 100
Boynton Beach, FL 33437-3782

Mailing address

215 SE 8TH Ave Apt 2010
Fort Lauderdale, FL 33301-3994
Phone (386) 216-1592

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

State licenses

LicenseStateTypeSpecialty
11014599FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Total Vein and Skin LLC PastSince Feb 12, 2023 Accepting new patients

Organizations & group practices 1

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": "1630540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630540800000",
    "number": "1366110322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 SE 8TH AVE APT 2010",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333013994",
            "telephone_number": "386-216-1592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10383 HAGEN RANCH RD STE 100",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334373782",
            "telephone_number": "561-349-7653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLETTE",
        "first_name": "ALEXANDRA",
        "credential": "DNP, APRN, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-02",
        "last_updated": "2021-09-02",
        "certification_date": "2021-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11014599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2021; 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.