Individual provider Active NPI

Tiffany Alexander

  • Nurse Practitioner
  • Miami, FL
National Provider Identifier
1487390779
Registry record updated Nov 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11020773 Issued in CO
Practice address
21051 San Simeon Way Apt 302
Miami, FL 33179-1987
Phone
(954) 999-7254
NPI assigned
May 9, 2022
Last updated
Nov 8, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN11020773 CO Primary
Critical Care Medicine Registered Nurse 163WC0200X RN9581694 FL

Addresses

Primary practice location

21051 San Simeon Way Apt 302
Miami, FL 33179-1987

Mailing address

21051 San Simeon Way Apt 302
Miami, FL 33179-1987

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address Tiffany_alexander@icloud.com
Direct Messaging Address Tiffany_alexander@icloud.com

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
I20251008004760 FL Practitioner - Nurse Practitioner 0648777284 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

21051 San Simeon Way
Apt 302
Miami, FL 33179-1987

336 NE 4TH St
Cape Coral, FL 33909-0500

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN9581694FLMDCritical Care Medicine Registered Nurse
APRN11020773COMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wellevate Mental Health PLLC CurrentSince Aug 31, 2025 Accepting new patients

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, 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": "1652054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1487390779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21051 SAN SIMEON WAY APT 302",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331791987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21051 SAN SIMEON WAY APT 302",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331791987",
            "telephone_number": "954-999-7254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEXANDER",
        "first_name": "TIFFANY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-09",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "APRN11020773",
            "primary": true
        },
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "FL",
            "license": "RN9581694",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Tiffany_alexander@icloud.com",
            "affiliation": "N",
            "address_1": "21051 San Simeon Way Apt 302",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331791987",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Tiffany_alexander@icloud.com",
            "affiliation": "N",
            "address_1": "21051 San Simeon Way Apt 302",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331791987",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.