Alicia R. Morneault, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9102692 Issued in FL

Practice address

417A Racetrack Rd NW
Suite 2
Fort Walton Beach, FL 32547-4600

Phone

(850) 863-5990

Fax

(850) 862-0041

NPI assigned

Mar 14, 2006

Sex

Female

Sole proprietor

No

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.

• Steven S Donchey Mdpa

  • Internal Medicine Physician
  • Niceville, FL
  • NPI 1962666974

  FL

  Medicare reassignment
• Med Help 280 LLC

  • Multi-Specialty Clinic/Center
  • Birmingham, AL
  • NPI 1174681654

  AL

  Medicare reassignment

Medicare fee-for-service enrollment

Enrolled in FL, AL2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: alicia.morneault.3@17217.direct.athenahealth.com

• Alicia R Osborne Former name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 4, 2016.

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451865600000",
    "number": "1962471987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417A RACETRACK RD NW",
            "address_2": "SUITE 2",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325474600",
            "telephone_number": "850-863-5990",
            "fax_number": "850-862-0041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417A RACETRACK RD NW",
            "address_2": "SUITE 2",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325474600",
            "telephone_number": "850-863-5990",
            "fax_number": "850-862-0041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORNEAULT",
        "first_name": "ALICIA",
        "middle_name": "R.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-14",
        "last_updated": "2016-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9102692",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "291883800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALICIA",
            "last_name": "OSBORNE",
            "middle_name": "R",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Venita Weaver Morell, MD
• Candace Victoria Morgan
• Christie Michele Morgan, LMT
• Cole Patton Morgan, DPT
• Donna M Morgan, MPA
• Amanda Morrell
• Ebony Morris
• Jodie Morris
• Kerri Morris, PT
• Jenny Morscher

• All providers in Fort Walton Beach, FL
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2016; 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.