Active NPI
Alejandra Pozzo Stevenson, APRN
- Pediatric Nurse Practitioner
- Loxahatchee, FL
National Provider Identifier
1508361387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- APRN11002503
- Practice address
- 12959 Palms West Dr Ste 120
Loxahatchee, FL 33470-4938 - Phone
- (561) 753-8888
- NPI assigned
- Mar 26, 2018
- Last updated
- Jan 15, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | R224107 | MD | |
| Pediatric Nurse Practitioner | 363LP0200X | APRN11002503 | FL | Primary |
Addresses
Primary practice location
12959 Palms West Dr Ste 120
Loxahatchee, FL 33470-4938
Mailing address
12959 Palms West Dr Ste 120
Loxahatchee, FL 33470-4938
Phone (561) 753-8888
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103857200 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11002503 | FL | MD | Pediatric Nurse Practitioner |
| R224107 | MD | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saltzman, Tanis, Pittell, Levin and Jacobson, LLC | Past | 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.
-
dba Pediatric Associates
- Pediatrics Physician
- Pompano Beach, FL
- NPI 1740044858
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579046400000",
"number": "1508361387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12959 PALMS WEST DR STE 120",
"city": "LOXAHATCHEE",
"state": "FL",
"postal_code": "334704938",
"telephone_number": "561-753-8888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12959 PALMS WEST DR STE 120",
"city": "LOXAHATCHEE",
"state": "FL",
"postal_code": "334704938",
"telephone_number": "561-753-8888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEVENSON",
"first_name": "ALEJANDRA",
"middle_name": "POZZO",
"name_prefix": "Mrs.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-26",
"last_updated": "2020-01-15",
"certification_date": "2020-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "MD",
"license": "R224107",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "FL",
"license": "APRN11002503",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "103857200",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Loxahatchee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.