Active NPI
Alicia A Alonso Wolff, APRN
- Adult Health Nurse Practitioner
- Altamonte Springs, FL
National Provider Identifier
1760436919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- APRN1868672
- Practice address
- 631 Palm Springs Dr
Suite 101
Altamonte Springs, FL 32701-7854 - Phone
- (407) 331-1121
- Fax
- (407) 331-1156
- NPI assigned
- May 20, 2006
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | APRN1868672 | FL | |
| Adult Health Nurse Practitioner | 363LA2200X | APRN1868672 | FL | Primary |
Addresses
Primary practice location
631 Palm Springs Dr
Suite 101
Altamonte Springs, FL 32701-7854
Mailing address
631 Palm Springs Dr
Suite 101
Altamonte Springs, FL 32701-7854
Phone (407) 331-1121
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Y004K | Other | FL | BCBS |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN1868672 | FL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Hospital Medical Group Inc | Current | Accepting new patients | |
| Florida Hospital Medical Group Inc | Nurse Practitioner | Current | Accepting new patients |
Locations
631 Palm Springs Dr
Ste 101
Altamonte Springs, FL 32701
Phone (407) 331-1121
2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Orlando, FL
- NPI 1225034234
Nurse Practitioner
-
- Prosthetic/Orthotic Supplier
- Minneola, FL
- NPI 1285591545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604361600000",
"number": "1760436919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "631 PALM SPRINGS DR",
"address_2": "SUITE 101",
"city": "ALTAMONTE SPRINGS",
"state": "FL",
"postal_code": "327017854",
"telephone_number": "407-331-1121",
"fax_number": "407-331-1156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "631 PALM SPRINGS DR",
"address_2": "SUITE 101",
"city": "ALTAMONTE SPRINGS",
"state": "FL",
"postal_code": "327017854",
"telephone_number": "407-331-1121",
"fax_number": "407-331-1156"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLFF",
"first_name": "ALICIA",
"middle_name": "A ALONSO",
"name_prefix": "Mrs.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-20",
"last_updated": "2020-11-03",
"certification_date": "2020-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "APRN1868672",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "FL",
"license": "APRN1868672",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "Y004K",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Altamonte Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.