Individual provider Active NPI

Alexandria Brook Davis-Mitchell, FNP-C

  • Family Nurse Practitioner
  • Pueblo, CO
National Provider Identifier
1013617505
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN.0998517-NP Issued in CO
Practice address
41 Montebello Rd Ste 116
Pueblo, CO 81001-1366
Phone
(719) 423-1500
NPI assigned
Mar 6, 2023
Last updated
Jun 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-179499 CO
Family Nurse Practitioner 363LF0000X APN.0998517-NP CO Primary

Addresses

Primary practice location

41 Montebello Rd Ste 116
Pueblo, CO 81001-1366

Mailing address

2795 Brookline CT
Colorado Springs, CO 80906-5583
Phone (719) 469-0674

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, CO2 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
I20230801004317 AL Practitioner - Nurse Practitioner 5395106785 Reassigns benefits to 1 organization
I20231007000493 CO Practitioner - Nurse Practitioner 5395106785 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

41 Montebello Rd
Pueblo, CO 81001-1366
Phone (719) 423-1500

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1-179499COMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gateway to Success, PC CurrentSince Sep 21, 2023 Accepting new patients
Spanish Peaks New Alternatives, Inc. CurrentSince Mar 1, 2024 Accepting new patients
Signify Health, LLC CurrentSince Jun 28, 2023 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince May 25, 2024 Accepting new patients
Gateway to Success, PC CurrentSince Sep 21, 2023 Accepting new patients
Gateway to Success, PC Current Accepting new patients
Spanish Peaks New Alternatives, Inc. CurrentSince Mar 1, 2024 Accepting new patients

Locations

4000 Eagle Point Corporate Dr
Birmingham, AL 35242
Phone (205) 314-5700

7700 E Arapahoe Rd
Ste 220
Centennial, CO 80112
Phone (303) 285-1148

155 Printers Pkwy
Ste 200
Colorado Springs, CO 80910
Phone (719) 374-1650

1012 W Abriendo Ave
Pueblo, CO 81004
Phone (719) 583-2207

1302 Chinook Ln
Pueblo, CO 81001

1304 Chinook Ln
Pueblo, CO 81001
Phone (719) 562-3222

1310 Chinook Ln
Pueblo, CO 81001

2003 E 4th St
Pueblo, CO 81001
Phone (719) 544-6373

41 Montebello Rd
Lowr LL1
Pueblo, CO 81001

41 Montebello Rd
Ste 100
Pueblo, CO 81001

41 Montebello Rd
Ste 104
Pueblo, CO 81001

41 Montebello Rd
Ste 116
Pueblo, CO 81001
Phone (719) 423-1500

41 Montebello Rd
Ste 120
Pueblo, CO 81001
Phone (719) 423-1500

41 Montebello Rd
Ste 204
Pueblo, CO 81001
Phone (719) 423-1341

417 S Indiana Ave
Trinidad, CO 81082
Phone (719) 846-4416

910 E Main St
Trinidad, CO 81082
Phone (719) 631-3370

926 Russell Ave
Walsenburg, CO 81089
Phone (719) 738-2386

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • Direct secure messaging: alexandria.davismitchell.p1@direct.healthsolutions.nextgenshare.com

Organizations & group practices 7

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.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1678060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1013617505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2795 BROOKLINE CT",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809065583",
            "telephone_number": "719-469-0674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 MONTEBELLO RD STE 116",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810011366",
            "telephone_number": "719-423-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS-MITCHELL",
        "first_name": "ALEXANDRIA",
        "middle_name": "BROOK",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-06",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "1-179499",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0998517-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

Verify at the official NPI Registry.