ALEXANDRA RAE PHELPS (NPI# 1477187169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1477187169 |
Entity Type | Individual |
Full Name | ALEXANDRA RAE PHELPS |
Credential | APRN |
Practice Address |
8380 Riverwalk Park Blvd Ste 100 Fort Myers FL 33919-8758 |
Mailing Address |
Po Box 2147 Fort Myers FL 33902-2147 |
Practice Telephone | 2393439960 |
Practice Fax Number | 2393439977 |
Mailing Telephone | 2393439960 |
Mailing Fax Number | 2393439977 |
Enumeration Date | 2020-03-03 |
Last Update Date | 2020-10-19 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 364SM0705X |
Clinical Nurse Specialist Specialization: Medical-Surgical |
APRN11006293 | FL | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 105748600 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013413731 | Alexandra Jordan Douglas Phelps | Obstetrics & Gynecology | 1875 Dempster St Ste 330, Park Ridge, IL 60068-1186 | 2018-04-02 |
1376985804 | Alexandra Phelps | Counselor | 500 Tamal Plz, Suite 529, Corte Madera, CA 94925-1151 | 2013-07-25 |
Street Address |
8380 RIVERWALK PARK BLVD STE 100 |
City | FORT MYERS |
State | FL |
Zip Code | 33919-8758 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205804515 | Wendy Sue Suckow | Physician Assistant | 8380 Riverwalk Park Blvd Ste 100, Fort Myers, FL 33919 | 2006-03-11 |
1245626589 | Jessica Groton | Surgery | 8380 Riverwalk Park Blvd Ste 100, Fort Myers, FL 33919-8758 | 2015-04-14 |
1821484619 | Carlos Andres Bustamante | Student in an Organized Health Care Education/Training Program | 8380 Riverwalk Park Blvd Ste 100, Fort Myers, FL 33919-8758 | 2015-04-08 |
1417209842 | Stuart Paasche | Physician Assistant | 8380 Riverwalk Park Blvd Ste 100, Fort Myers, FL 33919 | 2012-10-09 |
1164665055 | Salomon Levy Miranda | Surgery | 8380 Riverwalk Park Blvd Ste 100, Fort Myers, FL 33919 | 2009-04-08 |
1326247768 | Charles Christopher Boggs | Surgery | 8380 Riverwalk Park Blvd Ste 100, Fort Myers, FL 33919-8758 | 2007-07-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073145942 | Patricia June Briand | Registered Nurse | 4309 Mariner Way #307, Fort Myers, FL 33919 | 2020-02-10 |
1629556840 | The Onyx Counseling Center, LLC | Social Worker | 6361 Presidential Ct Ste 101, Fort Myers, FL 33919 | 2018-07-31 |
1366980187 | My Precious Kids Therapy Center Inc | Community/Behavioral Health | 4755 Summerlin Road, Suite #4, Fort Myers, FL 33919 | 2017-02-01 |
1811342397 | Kimberly Regenesis | Substance Abuse Rehabilitation Facility | 8695 College Parkway, Suite 2080, Ft Myers, FL 33919 | 2016-05-03 |
1689030207 | Balance for All, Inc. | Acupuncturist | 6238 Presidential Ct., Ste 6, Fort Myers, FL 33919 | 2016-01-12 |
1902275217 | Kelly Jean Overton | Physical Therapist | 6341 Whiskey Creek Drive, Fort Myers, FL 33919 | 2015-09-16 |
1508125311 | Charles Clark Dugan IIi | Chiropractor | 6309 Corporate Court, Suite 110, Fort Myers, FL 33919 | 2012-05-14 |
1659641231 | Dasha Bich Le | Pharmacist | 9629 Bay Harbor Cir., Apt. 201, Fort Myers, FL 33919 | 2012-01-12 |
1164792602 | Gail Lee Rathbun | Nurse Practitioner | 6311 S. Pointe Blvd., Fort Meyers, FL 33919 | 2011-12-30 |
1871878173 | Scott Kozlowski | Behavioral Analyst | 5335 Shalley Cir., Ft. Myers, FL 33919 | 2011-10-18 |
Find all providers in zip 33919 |
Taxonomy Code | 364SM0705X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Clinical Nurse Specialist |
Specialization | Medical-Surgical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063934123 | Dorene Mary Mccoy | Clinical Nurse Specialist | 9981 S Healthpark Dr Ste 156, Fort Myers, FL 33908-3618 | 2017-07-11 |
1548773005 | Sharon Dyan Moreland | Clinical Nurse Specialist | 9981 S Healthpark Dr, Fort Myers, FL 33908-3618 | 2017-11-07 |
1639612492 | Suzie L Willis | Clinical Nurse Specialist | 8380 Riverwalk Park Blvd, Suite 100, Fort Myers, FL 33919-8758 | 2016-11-28 |
1790161248 | Heather Masse Haddock | Clinical Nurse Specialist | 16230 Summerlin Rd, Suite 215, Fort Myers, FL 33908-5768 | 2015-08-07 |
1710137146 | Amy R Phipps | Clinical Nurse Specialist | 16230 Summerlin Rd Ste 215, Fort Myers, FL 33908-5769 | 2008-09-23 |
1467621193 | Kristin Eve Koehlmoos | Clinical Nurse Specialist | 16230 Summerlin Rd Ste 215, Fort Myers, FL 33908-5769 | 2008-02-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104256775 | Yunet Saez | Clinical Nurse Specialist | 681 Sw Port St. Lucie Blvd, Port St. Lucie, FL 34953 | 2013-11-19 |
1073779815 | Felicia Quinn | Clinical Nurse Specialist | 7329 Smithbrooke Dr, Lake Worth, FL 33467-7203 | 2008-07-31 |
1154778470 | Janet Margaret Lightner | Clinical Nurse Specialist | 708 Del Prado Blvd S Ste 6, Cape Coral, FL 33990-2661 | 2016-05-17 |
1720403074 | Rhonda Renea Hendricks | Clinical Nurse Specialist | 708 S. Del Prado Blvd, Suite 1, Cape Coral, FL 33990-2676 | 2014-02-24 |
1437497401 | Rita A. Kelly | Clinical Nurse Specialist | 708 Del Prado Blvd S Ste 6, Cape Coral, FL 33990-2661 | 2013-01-24 |
1235325523 | Nancy Porras | Clinical Nurse Specialist | 3100 Coral Hills Dr, Coral Springs, FL 33065-4137 | 2007-09-20 |
1952597437 | Curt Lord | Clinical Nurse Specialist | 1106 Druid Rd S, Suite 301, Clearwater, FL 33756-3846 | 2007-09-19 |
1780898502 | Diane Marie Krawczyk | Clinical Nurse Specialist | 3981 Sw 30th Ave, Fort Lauderdale, FL 33312-6816 | 2007-05-10 |
1659457869 | Stefani Cohen | Clinical Nurse Specialist | 15175 Eagle Nest Ln, Suite 108, Miami Lakes, FL 33014-2244 | 2006-10-31 |
1568446466 | Karen A Lentz | Clinical Nurse Specialist | 4200 Sun N Lake Blvd, Sebring, FL 33872-1986 | 2005-12-05 |
Find all providers with the same taxonomy |
City | FORT MYERS |
Zip Code | 33919 |
Please comment or provide details below to improve the information on ALEXANDRA RAE PHELPS.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.