Individual provider Active NPI

Altia Aljeana Landis, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Coral Gables, FL
National Provider Identifier
1457699324
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
9291957 Issued in FL
Practice address
806 S Douglas Rd
Coral Gables, FL 33134-3157
Phone
(305) 447-4150
NPI assigned
Jan 28, 2013
Last updated
Jan 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 9291957 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 9291957 FL Primary

Addresses

Primary practice location

806 S Douglas Rd
Coral Gables, FL 33134-3157

Mailing address

9600 W Sample Rd
Coral Springs, FL 33065-4045
Phone (917) 375-0524

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
I20130506000411 FL Practitioner - Nurse Practitioner 0143467498 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Advanced Care Consultants LLCGroup PAC ID 0648662247, 4 clinicians

Practice addresses (Care Compare)

Coral Springs, FL 33071
Phone (888) 701-4161

5944 Coral Ridge Dr
Suite 268
Coral Springs, FL 33076-3300

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9291957FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Care Consultants, LLC Family CurrentSince Sep 17, 2021 Accepting new patients
CS Pacs 3 Southeast, LLC CurrentSince Sep 9, 2024 Accepting new patients
Lighthouse Residential Care LLC Current Accepting new patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Jan 23, 2024 Accepting new patients
Florida Post Acute Medical Services 1 PA CurrentSince Aug 1, 2018 Accepting new patients
Inpatient Consultants of Florida, Inc Current Accepting new patients
Inpatient Consultants of Florida Inc CurrentSince Apr 9, 2013 Accepting new patients
Ca Pacs 2 Medical Group Inc CurrentSince Jan 27, 2022 Accepting new patients

Locations

21251 E Dixie Hwy
Aventura, FL 33180
Phone (305) 935-4825

401 Fairwood Ave
Clearwater, FL 33759
Phone (727) 210-2600

806 S Douglas Rd
Coral Gables, FL 33134
Phone (240) 454-1997

1515 N University Dr
Ste 207
Coral Springs, FL 33071
Phone (754) 241-3155

5944 Coral Ridge Dr
Coral Springs, FL 33076
Phone (954) 317-9914

9600 W Sample Rd
Ste 300
Coral Springs, FL 33065
Phone (917) 375-0524

4325 Southpoint Blvd
Jacksonville, FL 32216
Phone (904) 245-7620

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

9820 SW 88th St
Miami, FL 33176
Phone (305) 271-6311

42 Collins Ave
#S
Miami Beach, FL 33139
Phone (305) 672-1771

2001 W 68th St
Miami Lakes, FL 33016
Phone (305) 364-2151

350 7th St N
Naples, FL 34102
Phone (239) 436-5000

4513 Executive Dr
Fl 2
Naples, FL 34119

1501 SE 24th Rd
Ocala, FL 34471
Phone (352) 257-7777

2029 Professional Center Dr
Orange Park, FL 32073
Phone (570) 352-3063

777 S Douglas Rd
Pembroke Pines, FL 33025
Phone (954) 276-6200

6000 49th St N
St Petersburg, FL 33709
Phone (727) 521-4411

8201 N University Dr
#201
Tamarac, FL 33321
Phone (954) 470-2851

3030 W Bearss Ave
Tampa, FL 33618
Phone (813) 932-2222

490 S Old Wire Rd
Wildwood, FL 34785
Phone (352) 748-3322

2675 N Andrews Ave
Wilton Manors, FL 33311
Phone (954) 563-4711

38250 A Ave
Zephyrhills, FL 33542
Phone (813) 732-5608

Organizations & group practices 8

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": "1359331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1457699324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9600 W SAMPLE RD",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330654045",
            "telephone_number": "917-375-0524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 S DOUGLAS RD",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331343157",
            "telephone_number": "305-447-4150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDIS",
        "first_name": "ALTIA",
        "middle_name": "ALJEANA",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-28",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9291957",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "9291957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

Verify at the official NPI Registry.