Marie Antoinette Alexis

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

6906777 Issued in FL

Practice address

63 Ryberry Dr
Palm Coast, FL 32164-6438

Phone

(386) 338-7974

Fax

(386) 263-7649

NPI assigned

Feb 7, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Marie a Alexis Adult Family Care Home

  • Adult Care Home Facility
  • Palm Coast, FL
  • NPI 1922763416

  Adult Care Home

  NPD Authorized official
• Marie Antoinette Alexis

  • Adult Care Home Facility
  • Palm Coast, FL
  • NPI 1972249993

  Adult Care Home

  NPD Authorized official

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

{
    "created_epoch": "1644192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644192000000",
    "number": "1831843002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 RYBERRY DR",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321646438",
            "telephone_number": "386-338-7974",
            "fax_number": "386-263-7649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 RYBERRY DR",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321646438",
            "telephone_number": "386-338-7974",
            "fax_number": "386-263-7649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEXIS",
        "first_name": "MARIE",
        "middle_name": "ANTOINETTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-07",
        "last_updated": "2022-02-07",
        "certification_date": "2022-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "FL",
            "license": "6906777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David F. Alaniz, CRNA
• Ahmad Samer Alawad, MD
• Albertsons LLC
• Craig Joseph Alexander, PHD
• Alexandra Kostick MD PA
• Adam Michael Alfonsi
• Don Joseph Alfonso, M.D.
• Renato A Alfonso, M.D.
• Abubaker Ahmed Ali, M.D.
• All in One Quality Care LLC

• All providers in Palm Coast, FL
• Adult Care Home Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2022; 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.