Individual provider Active NPI

Jean Emiliano Alfred, NP

  • Acute Care Nurse Practitioner
  • Kissimmee, FL
National Provider Identifier
1902614837
Registry record updated Dec 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
APRN11036238 Issued in FL
Practice address
2292 Centerra Loop
Kissimmee, FL 34741-7986
Phone
(845) 821-2135
NPI assigned
Dec 23, 2024
Last updated
Dec 23, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X APRN11036238 FL Primary

Addresses

Primary practice location

2292 Centerra Loop
Kissimmee, FL 34741-7986

Mailing address

2292 Centerra Loop
Kissimmee, FL 34741-7986
Phone (845) 821-2135

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
I20250206002266 FL Practitioner - Nurse Practitioner 3870023732 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Astha HealthGroup PAC ID 9931589892, 30 clinicians

Practice addresses (Care Compare)

13755 Golf Club Pkwy
Fort Myers, FL 33919-5146
Phone (239) 482-2848

1626 Davis Rd
West Palm Beach, FL 33406-5640
Phone (561) 439-8897

1851 Elkcam Blvd
Deltona, FL 32725-3922
Phone (386) 789-3769

3001 S Congress Ave
Boynton Beach, FL 33426-9012
Phone (561) 737-5600

4033 Beaver LN
Port Charlotte, FL 33952-9206
Phone (941) 625-3200

5245 N Socrum Loop Rd
Lakeland, FL 33809-4253
Phone (863) 859-1446

804 Emmett St
Kissimmee, FL 34741-5434
Phone (407) 785-1111

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Intensive Care Experts Health Network LLC CurrentSince Jan 10, 2025 Accepting new patients
Intensive Care Experts Health Network LLC Acute Care CurrentSince Jan 10, 2025 Accepting new patients
Astha Health CurrentSince Apr 1, 2025 Accepting new patients

Locations

701 N Federal Hwy
Ste 601
Hallandale Beach, FL 33009
Phone (954) 573-2195

804 Emmett St
Kissimmee, FL 34741
Phone (407) 449-4559

4033 Beaver Ln
Pt Charlotte, FL 33952
Phone (941) 212-2748

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1734912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734912000000",
    "number": "1902614837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2292 CENTERRA LOOP",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347417986",
            "telephone_number": "845-821-2135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2292 CENTERRA LOOP",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347417986",
            "telephone_number": "845-821-2135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALFRED",
        "first_name": "JEAN",
        "middle_name": "EMILIANO",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-12-23",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "APRN11036238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

Verify at the official NPI Registry.