DR. ALICIA SELF DNP-FNP-C
NPI 1154885804
Nurse Practitioner - Family in Lakeland, FL

NPI Status: Active since January 28, 2019

Contact Information

211 E MAIN ST # 435
LAKELAND, FL
ZIP 33801
Phone: (863) 595-6909

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  • Individual
  • Female
  • Nurse Practitioner
  • Family

About ALICIA SELF

This page provides the complete NPI Profile along with additional information for Alicia Self, a provider established in Lakeland, Florida with a medical specialization in Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1154885804 assigned on January 2019. The practitioner's primary taxonomy code is 363LF0000X with license number APRN11002709 (FL). The provider is registered as an individual and her NPI record was last updated March 2025.

NPI
1154885804
Provider Name
DR. ALICIA SELF DNP-FNP-C
Gender
Female
Entity Type
Individual
Location Address
211 E MAIN ST # 435 LAKELAND, FL 33801
Location Phone
(863) 595-6909
Mailing Address
PO BOX 971 KATHLEEN, FL 33849
Mailing Phone
(863) 944-6977
Is Sole Proprietor?
Yes
Enumeration Date
01-28-2019
Last Update Date
03-27-2025
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A nurse practitioner (NP) like Alicia Self is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Family

Taxonomy Code
363LF0000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
APRN11002709
License State
FL

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1163W00000XNursing Service Providers

Registered Nurse

RN9655562 (FL)
2363L00000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner

308247 (AZ)
3363L00000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner

C-APN.0102110-C-NP (CO)

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1154885804
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
211041681080
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 0 + 4 + 1 + 6 + 8 + 1 + 0 + 8 + 0 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1154885804 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1457154379OPULENT MEDICAL CARE LLC
Organization
Clinic/Center211 E MAIN ST # 435
LAKELAND, FL 33801
(863) 944-6977

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154885804, enumerated in the NPI registry as an "individual" on January 28, 2019

The provider is located at 211 E Main St # 435 Lakeland, Fl 33801 and the phone number is (863) 595-6909

The provider's speciality is Nurse Practitioner with taxonomy code 363LF0000X with a focus in Family

This NPI record was last updated on January 28, 2019. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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