Krystel Carmen Alexis, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

9116738 Issued in FL

Practice address

9111 Park Dr
Miami Shores, FL 33138-3159

Phone

(305) 759-1255

NPI assigned

Mar 22, 2023

Last updated

Mar 22, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Vilmed Inc

  • Infectious Disease Physician
  • Miami Shores, FL
  • NPI 1730259649
  Medicare reassignment

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

{
    "created_epoch": "1679443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679443200000",
    "number": "1457054363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 BRICKELL BAY DR APT 3303",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331313956",
            "telephone_number": "786-376-3852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9111 PARK DR",
            "city": "MIAMI SHORES",
            "state": "FL",
            "postal_code": "331383159",
            "telephone_number": "305-759-1255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEXIS",
        "first_name": "KRYSTEL",
        "middle_name": "CARMEN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-22",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "9116738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Agvmdpa
• Mina Akbari
• Maria Gabriela Ale-Castro, MD
• Alex Barrocas MD PA
• Timothy A Alexander, M.D.
• Alfredo Sanchez Fortis M D P a
• Janet N Allison, M.D.
• Dane William Alma
• Brenda Nicole Altman, SRNA
• Alvarez & Edmiston MD PA

• Physician Assistant in Miami Shores, FL
• Providers in Miami Shores, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.