Individual provider Active NPI

Alisia Ann Enriquez, NP

  • Family Nurse Practitioner
  • Fort Bragg, NC
National Provider Identifier
1952881567
Registry record updated Jan 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5010818 Issued in NC
Practice address
2817 Rock Merritt Ave Stop a
Fort Bragg, NC 28310
Phone
(910) 908-4673
Fax
(910) 908-2240
NPI assigned
Aug 14, 2018
Last updated
Jan 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2026

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 5010818 NC Primary

Addresses

Primary practice location

2817 Rock Merritt Ave Stop a
Fort Bragg, NC 28310

Mailing address

2817 Rock Merritt Ave Stop a
Fort Bragg, NC 28310-0001
Phone (910) 908-4673

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20181214000515 NC Practitioner - Nurse Practitioner 2769727072 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5010818NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Regional Physician Services CurrentSince Jan 4, 2022 Accepting new patients
Scotland Medical Center P.a. CurrentSince Oct 1, 2018 Accepting new patients
Southeastern Regional Physician Services CurrentSince Jan 4, 2022 Accepting new patients
Southeastern Health Physician Services Past Accepting new patients

Locations

1249 Chicken Foot Rd
Ste C
Hope Mills, NC 28348
Phone (910) 735-8122

422 S King St
Laurinburg, NC 28352
Phone (910) 276-2100

2936 N Elm St
#102
Lumberton, NC 28358
Phone (910) 671-6619

395 W 27th St
Lumberton, NC 28358
Phone (910) 738-3434

812 Candy Park Rd
Ste 5103
Pembroke, NC 28372
Phone (910) 671-6619

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1534204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767571200000",
    "number": "1952881567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2817 ROCK MERRITT AVE STOP A",
            "city": "FORT BRAGG",
            "state": "NC",
            "postal_code": "283100001",
            "telephone_number": "910-908-4673",
            "fax_number": "910-425-9120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2817 ROCK MERRITT AVE STOP A",
            "city": "FORT BRAGG",
            "state": "NC",
            "postal_code": "28310",
            "telephone_number": "910-908-4673",
            "fax_number": "910-908-2240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENRIQUEZ",
        "first_name": "ALISIA",
        "middle_name": "ANN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-14",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5010818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Bragg, NC

Sources for this page

Verify at the official NPI Registry.