Damaris Alicano, APRN
Individual provider Active NPI Family Nurse Practitioner · Weston, FL
NPI 1972242691 · NPPES record last updated Jun 1, 2022
Key facts
- NPI
- 1972242691
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 11017566 (FL)
- Practice address
- 589 Carrington Dr
Weston, FL 33326-3574 - Phone
- (954) 336-7510
- NPI assigned
- Jun 1, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Florida International Univ, College of Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Advance Neuropathy Institute LLC
Practice addresses (Care Compare)
3027 Aloma Ave
Winter Park, FL 32792-3702
Phone (407) 813-4784
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221101002170 | FL | Practitioner - Nurse Practitioner | 2860869005 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11017566 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Neuropathy Institute LLC | Current |
Accepting new patients | |
| Integrated Sleep Care | Current |
Accepting new patients | |
| Advance Neuropathy Institute LLC | Current |
Accepting new patients | |
| Charles E. Williams, M.D.P.a. | Past |
Accepting new patients |
Locations
14601 SW 29th St
Ste 303
Miramar, FL 33027
Phone (954) 289-6106
10450 Turkey Lake Rd
Unit 691232
Orlando, FL 32869
6001 Vineland Rd
Ste 112A
Orlando, FL 32819
Phone (407) 813-4784
601 N Flamingo Rd
Ste 315
Pembroke Pnes, FL 33028
Phone (954) 436-2100
3027 Aloma Ave
Winter Park, FL 32792
Phone (407) 678-6466
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 11017566 | FL | Yes |
Addresses
Primary practice location
589 Carrington Dr
Weston, FL 33326-3574
Mailing address
589 Carrington Dr
Weston, FL 33326-3574
Phone (954) 336-7510
Other providers in Weston, FL
- Alexandra Victoria PSYD Inc
- Laurent Alfonso Azcona
- Mued Alghadir Alkhalaileh
- Issa Ali
- Muaz Ali
- All Care Solutions of Broward LLC
- All in Health Care, Inc
- All Professional Home Care, LLC
- All Services Home Health Agency Inc
- All Womens Healthcare of Southern Florida Inc
All providers in Weston, FL · Family Nurse Practitioner in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 1, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.