Alichia Lashawn Pecks, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-139340 Issued in AL

Practice address

76 Village Way
Wetumpka, AL 36093-2981

Phone

(334) 538-0866

NPI assigned

Aug 24, 2020

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

Enrolled in AL

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Empower Health LLC

  • Nurse Practitioner
  • Wetumpka, AL
  • NPI 1023998333
  Medicare reassignment NPD Authorized official
• Stratus Orthopedic Supply, Inc.

  dba Stratus Wound Care

  • General Practice Physician
  • Hoover, AL
  • NPI 1669552329
  NPD

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

{
    "created_epoch": "1598227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601510400000",
    "number": "1841803483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 VILLAGE WAY",
            "city": "WETUMPKA",
            "state": "AL",
            "postal_code": "360932981",
            "telephone_number": "334-538-0866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 VILLAGE WAY",
            "city": "WETUMPKA",
            "state": "AL",
            "postal_code": "360932981",
            "telephone_number": "334-538-0866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PECKS",
        "first_name": "ALICHIA",
        "middle_name": "LASHAWN",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-24",
        "last_updated": "2020-10-01",
        "certification_date": "2020-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-139340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anslee Osborne
• Stephanie Ott, RN
• Reese Owen
• Owens Optical of Wetumpka Inc
• Katrina G Owes
• Haley Brooke Pemberton, CRNP
• Betty Jo Penton, L.P.C.
• Perfect Pain Solutions, L.L.C.
• Meagan Louise Petrunic
• Van Pham, RPH

• Family Nurse Practitioner in Wetumpka, AL
• Providers in Wetumpka, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.

Verify at the official NPI Registry.