Alexa Lee St Laurent

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R246940 Issued in MD

Practice address

2024 West St Ste 400
Annapolis, MD 21401-3552

Phone

(410) 224-7667

Fax

(410) 224-7007

NPI assigned

Jun 20, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1687219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696032000000",
    "number": "1003591736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2024 WEST ST STE 400",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013552",
            "telephone_number": "410-224-7667",
            "fax_number": "410-224-7007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2024 WEST ST STE 400",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013552",
            "telephone_number": "410-224-7667",
            "fax_number": "410-224-7007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST LAURENT",
        "first_name": "ALEXA",
        "middle_name": "LEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-20",
        "last_updated": "2023-09-30",
        "certification_date": "2023-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R246940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily J Sprague, OD
• Marla JB Spring, FNP-C MSN CDE
• Gaurav Srivastava, MD
• SSC Annapolis Operating Company LLC
• St Johns College Health Center
• St Paul Place Specialists, Inc.
• St Paul Place Specialists, Inc.
• St Paul Place Specialists, Inc.
• St. Agnes Hospital
• James A Stafford, LCPC

• Family Nurse Practitioner in Annapolis, MD
• Providers in Annapolis, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.