Individual provider Active NPI

Damaris Alicano, APRN

  • Family Nurse Practitioner
  • Weston, FL
National Provider Identifier
1972242691
Registry record updated Jun 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11017566 Issued in FL
Practice address
589 Carrington Dr
Weston, FL 33326-3574
Phone
(954) 336-7510
NPI assigned
Jun 1, 2022
Last updated
Jun 1, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2022

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221101002170 FL Practitioner - Nurse Practitioner 2860869005 Reassigns benefits to 3 organizations

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
Advance Neuropathy Institute LLCGroup PAC ID 1658721279, 2 clinicians

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

LicenseStateTypeSpecialty
11017566FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advance Neuropathy Institute LLC CurrentSince Apr 1, 2025 Accepting new patients
Integrated Sleep Care CurrentSince Oct 1, 2022 Accepting new patients
American Neuropathy Institute LLC CurrentSince Nov 23, 2025 Accepting new patients
Charles E. Williams, M.D.P.a. PastSince Apr 1, 2025 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.