Individual provider Active NPI

Alicia Dimitrijevic, ARNP

  • Family Nurse Practitioner
  • Clearwater, FL
National Provider Identifier
1386019685
Registry record updated Mar 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9247285 Issued in FL
Practice address
3190 N McMullen Booth Rd Ste 200
Clearwater, FL 33761-2013
Phone
(813) 855-2900
Fax
(813) 855-2990
NPI assigned
Dec 11, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2024

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 9247285 FL Primary

Addresses

Primary practice location

3190 N McMullen Booth Rd Ste 200
Clearwater, FL 33761-2013

Mailing address

3190 N McMullen Booth Rd Ste 200
Clearwater, FL 33761-2013
Phone (813) 855-2900

Other names 1

  • Miss Alicia Elaine Geiger Former name

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
I20240508003991 FL Practitioner - Nurse Practitioner 9537500590 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9247285FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ms & Neuromuscular Center of Excellence LLC CurrentSince Apr 1, 2024 Accepting new patients

Locations

3190 N McMullen Booth Rd
Ste 200
Clearwater, FL 33761
Phone (727) 447-7786

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": "1449792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711670400000",
    "number": "1386019685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3190 N MCMULLEN BOOTH RD STE 200",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337612013",
            "telephone_number": "813-855-2900",
            "fax_number": "813-855-2990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3190 N MCMULLEN BOOTH RD STE 200",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337612013",
            "telephone_number": "813-855-2900",
            "fax_number": "813-855-2990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMITRIJEVIC",
        "first_name": "ALICIA",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-11",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9247285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALICIA",
            "last_name": "GEIGER",
            "middle_name": "ELAINE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.