Individual provider Active NPI

Katiria Marie Alamo, FNP-BC

  • Family Nurse Practitioner
  • Coconut Creek, FL
National Provider Identifier
1417697707
Registry record updated Nov 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11019000 Issued in FL
Practice address
1307 Lyons Rd
Coconut Creek, FL 33063-3927
Phone
(954) 727-8848
NPI assigned
Apr 1, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2025

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 11019000 FL Primary

Addresses

Primary practice location

1307 Lyons Rd
Coconut Creek, FL 33063-3927

Mailing address

2125 Biscayne Blvd Ste 204
Miami, FL 33137-5029
Phone (954) 224-5932

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11019000FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tobe L. Rubin, M.D., P.a. CurrentSince Jan 1, 2023 Accepting new patients
CTMD Medical Center PA PastSince Oct 1, 2022 Accepting new patients

Locations

1307 Lyons Rd
Coconut Creek, FL 33063
Phone (561) 324-7224

Organizations & group practices 2

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": "1648771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763337600000",
    "number": "1417697707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2125 BISCAYNE BLVD STE 204",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331375029",
            "telephone_number": "954-224-5932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 LYONS RD",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330633927",
            "telephone_number": "954-727-8848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALAMO",
        "first_name": "KATIRIA",
        "middle_name": "MARIE",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-01",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11019000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coconut Creek, FL

Sources for this page

Verify at the official NPI Registry.