Individual provider Active NPI

Alyzza De la Uz Forte, ARNP

  • Family Nurse Practitioner
  • Atlantis, FL
National Provider Identifier
1922536648
Registry record updated May 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2891322 Issued in FL
Practice address
180 John F Kennedy Dr
311
Atlantis, FL 33462
Phone
(561) 434-0353
NPI assigned
May 25, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 25, 2017

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 2891322 FL Primary

Addresses

Primary practice location

180 John F Kennedy Dr
311
Atlantis, FL 33462

Mailing address

303 Hardwood PT
Jupiter, FL 33458-8349
Phone (305) 283-2832

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
I20180305002407 FL Practitioner - Nurse Practitioner 4880955905 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

Practice addresses (Care Compare)

1002 S Old Dixie Hwy
Jupiter, FL 33458-7202
Phone (561) 741-5695

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2891322FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jupiter Medical Center Physicians Group Inc CurrentSince Nov 27, 2023 Accepting new patients
Florida Electrophysiology Associates PA CurrentSince Oct 1, 2017 Accepting new patients
Jupiter Medical Center Physicians Group Inc CurrentSince Nov 27, 2023 Accepting new patients

Locations

180 John F Kennedy Dr
Ste 311
Atlantis, FL 33462

1002 S Old Dixie Hwy
Ste 304
Jupiter, FL 33458
Phone (561) 223-6288

1210 S Old Dixie Hwy
Jupiter, FL 33458
Phone (561) 743-5073

1002 S Old Dixie Hwy
Ste 302
Jupiter, FL 33458
Phone (561) 263-5073

1002 S Old Dixie Hwy
Jupiter, FL 33458
Phone (561) 741-5695

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GHGBDA
  • Direct secure messaging: aforte27534@jupitermedicalcenter.direct-ci.com

Organizations & group practices 3

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 1

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": "1495670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1495670400000",
    "number": "1922536648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 HARDWOOD PT",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334588349",
            "telephone_number": "305-283-2832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 JOHN F KENNEDY DR",
            "address_2": "311",
            "city": "ATLANTIS",
            "state": "FL",
            "postal_code": "33462",
            "telephone_number": "561-434-0353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LA UZ FORTE",
        "first_name": "ALYZZA",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-25",
        "last_updated": "2017-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "2891322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlantis, FL

Sources for this page

Verify at the official NPI Registry.