Active NPI
Jacqueline Alvarado, MA
- Case Manager/Care Coordinator
- Apopka, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 205 N Park Ave
Apopka, FL 32703-4102 - Phone
- (321) 347-5748
- NPI assigned
- Jun 27, 2014
- Last updated
- Mar 16, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | |||
| Exclusive Provider Organization | 302F00000X | |||
| Case Manager/Care Coordinator | 171M00000X | FL | Primary |
Addresses
Primary practice location
205 N Park Ave
Apopka, FL 32703-4102
Mailing address
3161 Britannia Blvd Apt C
Kissimmee, FL 34747-1494
Phone (321) 947-1330
Other practice location 1
368 Wilshire Blvd
Casselberry, FL 32707-5370
Phone (407) 920-0338
Other practice location 2
3800 W Broward Blvd Ste 100
Ft Lauderdale, FL 33312-1018
Phone (954) 587-1008 ext. 480
Other practice location 3
225 S Swoope Ave Ste 211
Maitland, FL 32751-5786
Phone (497) 622-0444
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558776534 | 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
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Visions Behavioral Services | Current | Accepting new patients |
Locations
205 N Park Ave
Apopka, FL 32703
Phone (321) 347-5748
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.
-
- Case Management Agency
- Apopka, FL
- NPI 1598306169
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584316800000",
"number": "1558776534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3161 BRITANNIA BLVD APT C",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347471494",
"telephone_number": "321-947-1330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 N PARK AVE",
"city": "APOPKA",
"state": "FL",
"postal_code": "327034102",
"telephone_number": "321-347-5748"
}
],
"practiceLocations": [
{
"address_1": "368 Wilshire Blvd",
"address_purpose": "LOCATION",
"city": "Casselberry",
"state": "FL",
"postal_code": "327075370",
"country_code": "US",
"telephone_number": "407-920-0338",
"fax_number": "407-790-4935",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3800 W Broward Blvd Ste 100",
"address_purpose": "LOCATION",
"city": "Ft Lauderdale",
"state": "FL",
"postal_code": "333121018",
"country_code": "US",
"telephone_number": "954-587-1008 x480",
"fax_number": "407-601-2778",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "225 S Swoope Ave Ste 211",
"address_purpose": "LOCATION",
"city": "Maitland",
"state": "FL",
"postal_code": "327515786",
"country_code": "US",
"telephone_number": "497-622-0444",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALVARADO",
"first_name": "JACQUELINE",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-06-27",
"last_updated": "2020-03-16",
"certification_date": "2020-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "302F00000X",
"taxonomy_group": "",
"desc": "Exclusive Provider Organization",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1558776534",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Apopka, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.