Individual provider Active NPI

Piettra Santos Alves, DNP,FNP

  • Family Nurse Practitioner
  • Hudson, FL
National Provider Identifier
1962980631
Registry record updated Dec 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11010445 Issued in FL
Practice address
8849 State Road 52
Hudson, FL 34667-6742
Phone
(727) 863-7150
NPI assigned
Aug 3, 2018
Last updated
Dec 14, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11239 CT
Family Nurse Practitioner 363LF0000X 105234 OK
Family Nurse Practitioner 363LF0000X APRN11010445 FL Primary
Family Medicine Physician 207Q00000X 105234 OK

Addresses

Primary practice location

8849 State Road 52
Hudson, FL 34667-6742

Mailing address

8849 State Road 52
Hudson, FL 34667-6742
Phone (727) 863-7150

Other identifiers 2

IdentifierTypeStateIssuer
1962980631MedicaidOK
1962980631OtherOKFAMILY PRACTICE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, CT2 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

Enrollment IDStateProvider typePAC IDDetails
I20220705002991 FL Practitioner - Nurse Practitioner 3779832829 Reassigns benefits to 1 organization
I20230627002322 CT Practitioner - Nurse Practitioner 3779832829 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MD Now Medical Centers IncGroup PAC ID 3971554825, 314 clinicians

Practice addresses (Care Compare)

10943 Causeway Blvd
Brandon, FL 33511-1997
Phone (813) 736-1488

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
MD Now Medical Centers Inc Current Accepting new patients
Neighborhood Health, Inc. Family Medicine CurrentSince Mar 1, 2024 Accepting new patients
MD Now Medical Centers Inc CurrentSince Aug 25, 2022 Accepting new patients
Unique Management Group PastSince Jan 1, 2022 Accepting new patients

Locations

2800 Main St
Bridgeport, CT 06606
Phone (203) 386-0366

331 Wethersfield Ave
Hartford, CT 06114
Phone (860) 236-4511

1838 Rye Rd
#107
Bradenton, FL 34212
Phone (941) 462-2004

10943 Causeway Blvd
Brandon, FL 33511
Phone (813) 736-1488

8849 State Road 52
Hudson, FL 34667
Phone (727) 863-7150

4570 Lantana Rd
Lake Worth, FL 33463
Phone (305) 949-4141

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

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": "1533254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734134400000",
    "number": "1962980631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8849 STATE ROAD 52",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346676742",
            "telephone_number": "727-863-7150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8849 STATE ROAD 52",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346676742",
            "telephone_number": "727-863-7150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTOS ALVES",
        "first_name": "PIETTRA",
        "credential": "DNP,FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-03",
        "last_updated": "2024-12-14",
        "certification_date": "2024-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "11239",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "105234",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11010445",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "105234",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1962980631",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FAMILY PRACTICE",
            "identifier": "1962980631",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, FL

Sources for this page

Verify at the official NPI Registry.