Individual provider Active NPI

Alexis Nicole Dillard, APRN

  • Family Nurse Practitioner
  • Ocala, FL
National Provider Identifier
1598430779
Registry record updated Oct 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11014799 Issued in FL
Practice address
7350 SW 60TH Ave Ste 2
Ocala, FL 34476-6476
Phone
(352) 854-5530
NPI assigned
Aug 10, 2021
Last updated
Oct 26, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11014799 FL Primary

Addresses

Primary practice location

7350 SW 60TH Ave Ste 2
Ocala, FL 34476-6476

Mailing address

4245 SE 2ND LN
Ocala, FL 34471-3114
Phone (352) 895-2990

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
I20211028002006 FL Practitioner - Nurse Practitioner 8325436066 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11014799FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Absolute Health Internal Medicine and Pediatrics CurrentSince Oct 25, 2021 Accepting new patients
Sylvester Ajufo Past Accepting new patients

Locations

7350 SW 60th Ave
Ste 2
Ocala, FL 34476
Phone (352) 854-5530

Organizations & group practices 2

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": "1628553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635206400000",
    "number": "1598430779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4245 SE 2ND LN",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344713114",
            "telephone_number": "352-895-2990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7350 SW 60TH AVE STE 2",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344766476",
            "telephone_number": "352-854-5530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILLARD",
        "first_name": "ALEXIS",
        "middle_name": "NICOLE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-10",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11014799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.