Individual provider Active NPI

Freida Nadir Alaniz, PA-C

  • Medical Physician Assistant
  • Pensacola, FL
National Provider Identifier
1366611899
Registry record updated Feb 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA9111848 Issued in FL
Practice address
5100 N 12TH Ave Ste 101
Pensacola, FL 32504-8919
Phone
(850) 208-6130
Fax
(850) 208-6136
NPI assigned
Feb 28, 2008
Last updated
Feb 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA19388 CA
Medical Physician Assistant 363AM0700X 4391 AZ
Medical Physician Assistant 363AM0700X PA9107135 FL
Medical Physician Assistant 363AM0700X PA9111848 FL Primary

Addresses

Primary practice location

5100 N 12TH Ave Ste 101
Pensacola, FL 32504-8919

Mailing address

PO Box 95590
South Jordan, UT 84095-0590
Phone (801) 784-0954

Other identifiers 3

IdentifierTypeStateIssuer
1079363OtherAZNCCPA
416051MedicaidAZ
129862300MedicaidFL

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
I20190514001572 FL Practitioner - Physician Assistant 8527115328 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Urgent Care, LLCGroup PAC ID 6406741297, 17 clinicians

Practice addresses (Care Compare)

5100 N 12TH Ave
Suite 101
Pensacola, FL 32504-8919
Phone (850) 208-6130

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
4391AZMDRehabilitation Chiropractor
PA19388CAMDPhysician Assistant
PA9107135FLMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Dynamic Pain & Wellness LLC CurrentSince Jun 1, 2019 Accepting new patients
Baptist Urgent Care, LLC CurrentSince Mar 30, 2026 Accepting new patients
Dynamic Pain & Wellness LLC CurrentSince Jun 1, 2019 Accepting new patients
Dynamic Chiro & PT LLC Past Accepting new patients
Baptist Medical Group LLC PastSince Mar 30, 2026 Accepting new patients

Locations

210 S Main St
Crestview, FL 32536
Phone (850) 306-3433

930 Mar Walt Dr
Fort Walton Beach, FL 32547
Phone (850) 331-2930

930 Mar Walt Dr
Unit C
Fort Walton Beach, FL 32547
Phone (850) 431-6183

4457 Bayou Blvd
Pensacola, FL 32503
Phone (504) 842-4851

5100 N 12th Ave
Ste 101
Pensacola, FL 32504
Phone (850) 208-6130

5111 N 12th Ave
Unit B
Pensacola, FL 32504

9400 University Pkwy
Ste 101B
Pensacola, FL 32514
Phone (850) 208-6130

Interoperability endpoints

  • Direct secure messaging: freida.alaniz@2498.securemail.prognocis.com

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1204156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770076800000",
    "number": "1366611899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 95590",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840950590",
            "telephone_number": "801-784-0954",
            "fax_number": "801-352-7976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 N 12TH AVE STE 101",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325048919",
            "telephone_number": "850-208-6130",
            "fax_number": "850-208-6136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALANIZ",
        "first_name": "FREIDA",
        "middle_name": "NADIR",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-28",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA19388",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "4391",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9107135",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9111848",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCCPA",
            "identifier": "1079363",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "416051",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "129862300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.