Active NPI
Damaris Alicano, APRN
- Family Nurse Practitioner
- Weston, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 11017566
- Practice address
- 589 Carrington Dr
Weston, FL 33326-3574 - Phone
- (954) 336-7510
- NPI assigned
- Jun 1, 2022
- Last updated
- Jun 1, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 11017566 | FL | Primary |
Addresses
Primary practice location
589 Carrington Dr
Weston, FL 33326-3574
Mailing address
589 Carrington Dr
Weston, FL 33326-3574
Phone (954) 336-7510
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Florida International Univ, College of Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3027 Aloma Ave
Winter Park, FL 32792-3702
Phone (407) 813-4784
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11017566 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advance Neuropathy Institute LLC | Current | Accepting new patients | |
| Integrated Sleep Care | Current | Accepting new patients | |
| American 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/
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.
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- Family Medicine Physician
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- NPI 1720388317
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654041600000",
"number": "1972242691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "589 CARRINGTON DR",
"city": "WESTON",
"state": "FL",
"postal_code": "333263574",
"telephone_number": "954-336-7510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "589 CARRINGTON DR",
"city": "WESTON",
"state": "FL",
"postal_code": "333263574",
"telephone_number": "954-336-7510"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALICANO",
"first_name": "DAMARIS",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-01",
"last_updated": "2022-06-01",
"certification_date": "2022-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "11017566",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Weston, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.