Individual provider Active NPI

Alicia Maria Ciliezar, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Pembroke Pines, FL
National Provider Identifier
1366221905
Registry record updated Sep 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
11028740 Issued in FL
Practice address
2010 NW 150TH Ave Ste 120
Pembroke Pines, FL 33028-2888
Phone
(954) 719-6280
NPI assigned
Sep 25, 2023
Last updated
Sep 25, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 11028740 FL Primary

Addresses

Primary practice location

2010 NW 150TH Ave Ste 120
Pembroke Pines, FL 33028-2888

Mailing address

12855 SW 50TH St
Miramar, FL 33027-5507
Phone (786) 213-1152

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
I20231204000281 FL Practitioner - Nurse Practitioner 8527416486 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1016 Clare Ave
Suite 5
West Palm Beach, FL 33401-6219
Phone (561) 270-5330

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11028740FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Solutions SFL LLC Psychiatric/Mental Health CurrentSince Oct 1, 2024 Accepting new patients
Heritage Wellness, LLC Psychiatric/Mental Health CurrentSince Nov 1, 2023 Accepting new patients
Heritage Wellness, LLC Psychiatric/Mental Health PastSince Sep 14, 2025 Accepting new patients

Locations

12550 Biscayne Blvd
Ste 800
North Miami, FL 33181
Phone (305) 479-7068

13100 W Dixie Hwy
North Miami, FL 33161
Phone (786) 228-6612

1016 Clare Ave
Ste 5
West Palm Beach, FL 33401
Phone (561) 270-5330

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1695600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1366221905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12855 SW 50TH ST",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330275507",
            "telephone_number": "786-213-1152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 NW 150TH AVE STE 120",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330282888",
            "telephone_number": "954-719-6280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CILIEZAR",
        "first_name": "ALICIA",
        "middle_name": "MARIA",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-25",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11028740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.