Individual provider Active NPI

Shakira Alexander, CRNP

  • Family Nurse Practitioner
  • Atlantic City, NJ
National Provider Identifier
1003181801
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ01426000 Issued in NJ
Practice address
4016 Ventnor Ave
Atlantic City, NJ 08401-5933
Phone
(856) 861-6500
NPI assigned
Mar 13, 2012
Last updated
Mar 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP022225 PA
Family Nurse Practitioner 363LF0000X 26NJ01426000 NJ Primary
Family Nurse Practitioner 363LF0000X SP022225 PA
Registered Nurse 163W00000X RN680995 PA
Registered Nurse 163W00000X 652476 NY
Licensed Practical Nurse 164W00000X 267928-1 NY

Addresses

Primary practice location

4016 Ventnor Ave
Atlantic City, NJ 08401-5933

Mailing address

4016 Ventnor Ave
Atlantic City, NJ 08401-5933
Phone (856) 861-6500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210111000195 PA Practitioner - Nurse Practitioner 5496168577 Reassigns benefits to 1 organization
I20240718002235 NJ Practitioner - Nurse Practitioner 5496168577 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
652476NYMDRegistered Nurse
RN680995PAMDRegistered Nurse
267928-1NYMDLicensed Practical Nurse
SP022225PAMDNurse Practitioner
26NJ01426000NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Active Health Marmora LLC CurrentSince Jul 12, 2024 Accepting new patients
Osh - PA Physicians Group, PC Nurse Practitioner CurrentSince Sep 12, 2022 Accepting new patients
Med-Doc Office PC CurrentSince Jan 4, 2025 Accepting new patients
Act on Total Health Medical Group, LLC Nurse Practitioner CurrentSince Jun 1, 2024 Accepting new patients
Regenerative Medicine of South Jersey LLC CurrentSince Jul 1, 2024 Accepting new patients
Spectrum Health Services Inc Past Accepting new patients

Locations

1325 Baltic Ave
Atlantic City, NJ 08401
Phone (609) 347-0655

602 Broadway
Camden, NJ 08103
Phone (609) 845-3988

2354 US Highway 9
Howell, NJ 07731
Phone (732) 905-5255

16 Roosevelt Blvd
Marmora, NJ 08223
Phone (609) 272-0909

1161 Route 50
Ste L
Mays Landing, NJ 08330
Phone (609) 625-7116

1501 Route 47
Rio Grande, NJ 08242
Phone (609) 224-1576

11 E Laurel Rd
Stratford, NJ 08084
Phone (609) 922-5260

2301 N 29th St
Philadelphia, PA 19132

2301 N 29th St
Ste 500
Philadelphia, PA 19132
Phone (215) 444-7510

3621 Aramingo Ave
Philadelphia, PA 19134
Phone (312) 600-8484

Organizations & group practices 6

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": "1331596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773187200000",
    "number": "1003181801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4016 VENTNOR AVE",
            "city": "ATLANTIC CITY",
            "state": "NJ",
            "postal_code": "084015933",
            "telephone_number": "856-861-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4016 VENTNOR AVE",
            "city": "ATLANTIC CITY",
            "state": "NJ",
            "postal_code": "084015933",
            "telephone_number": "856-861-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEXANDER",
        "first_name": "SHAKIRA",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-13",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP022225",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ01426000",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP022225",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN680995",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "652476",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "267928-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlantic City, NJ

Sources for this page

Verify at the official NPI Registry.