MEDICARE: ALYCIA MARIE KAPIOTIS CRNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	1-106245	AL
2	363LF0000X	Family Nurse Practitioner	ARNP9324874	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	011846	OTHER	AL	MEDICARE GROUP NUMBER

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1700198132
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALYCIA MARIE KAPIOTIS CRNP

Provider Business Mailing Address
First Line	:	8086 BROOKSIDE LN
Second Line	:
City	:	DAPHNE
State	:	AL
Zip	:	36526-6432
Country	:	US
Telephone Number	:	251-367-5454
Fax Number	:

Provider Business Practice Location Address
First Line	:	5371 ARROWHEAD RD
Second Line	:
City	:	PENSACOLA
State	:	FL
Zip	:	32507-8906
Country	:	US
Telephone Number	:	850-270-8801
Fax Number	:	850-831-8627

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/14/2010
Last Update Date	:	03/20/2026

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Directions to “ ALYCIA MARIE KAPIOTIS CRNP” Practice Location

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