Individual provider Active NPI

Alceha Dorotta Mayne Thomas, ARNP

  • Family Nurse Practitioner
  • Miramar, FL
National Provider Identifier
1780163444
Registry record updated Aug 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9228962 Issued in FL
Practice address
2301 SW 84TH Way
Miramar, FL 33025-5135
Phone
(954) 488-4345
NPI assigned
Aug 13, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2018

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 9228962 FL Primary

Addresses

Primary practice location

2301 SW 84TH Way
Miramar, FL 33025-5135

Mailing address

2301 SW 84TH Way
Miramar, FL 33025-5135
Phone (954) 488-4345

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
I20190124001168 FL Practitioner - Nurse Practitioner 5092052381 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marion Heart Center, PAGroup PAC ID 2365463197, 5 clinicians

Practice addresses (Care Compare)

10230 SW 86TH Cir
Ocala, FL 34481-7664
Phone (352) 861-6633

Hospital & facility affiliations

  • Better @ Home Home health agency, Ocala, FL, CCN 107736
  • Brooks Rehabilitation Home Health Home health agency, Palatka, FL, CCN 109754
  • Angels Care Home Health Home health agency, Clermont, FL, CCN 108236

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9228962FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lifeforce Healthcare LLC Family CurrentSince Jul 1, 2023 Accepting new patients
Marion Heart Center, PA CurrentSince Nov 12, 2018 Accepting new patients
Mid-South Home Care Services, LLC Past Accepting new patients
Florida Health Care LLC Past Accepting new patients

Locations

1040 SW 2nd Ave
Ocala, FL 34471
Phone (352) 732-3005

10230 SW 86th Cir
Ocala, FL 34481
Phone (352) 861-6633

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.61565
  • Direct secure messaging: alceha.maynethomas@mpa.directbygreenway.com

Organizations & group practices 4

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1534118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534118400000",
    "number": "1780163444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 SW 84TH WAY",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330255135",
            "telephone_number": "954-488-4345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 SW 84TH WAY",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330255135",
            "telephone_number": "954-488-4345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYNE THOMAS",
        "first_name": "ALCEHA",
        "middle_name": "DOROTTA",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-13",
        "last_updated": "2018-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9228962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miramar, FL

Sources for this page

Verify at the official NPI Registry.