Individual provider Active NPI

Alicia S Benjamin-Stone

  • Adult Day Care Clinic/Center
  • Lakeland, FL
National Provider Identifier
1669664306
Registry record updated Aug 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
6906122 Issued in FL
Practice address
8198 Westmont Ave
Lakeland, FL 33810-2062
Phone
(863) 858-1941
Fax
(863) 858-1941
NPI assigned
Aug 16, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 6906122 FL Primary

Addresses

Primary practice location

8198 Westmont Ave
Lakeland, FL 33810-2062

Mailing address

8198 Westmont Ave
Lakeland, FL 33810-2062
Phone (863) 858-1941

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

LicenseStateTypeSpecialty
6906122FLMDAdult Day Care Clinic/Center

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1187222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187222400000",
    "number": "1669664306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8198 WESTMONT AVE",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338102062",
            "telephone_number": "863-858-1941",
            "fax_number": "863-858-1941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8198 WESTMONT AVE",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338102062",
            "telephone_number": "863-858-1941",
            "fax_number": "863-858-1941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENJAMIN-STONE",
        "first_name": "ALICIA",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-16",
        "last_updated": "2007-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "FL",
            "license": "6906122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.