Alexandra Nicole Dibasilio

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

R249243 Issued in MD

Practice address

315 Pope Ave Apt 8
Fort Leavenworth, KS 66027-1383

Phone

(410) 960-5206

NPI assigned

Jul 6, 2022

Last updated

Jul 6, 2022By the provider in NPPES

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1657065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657065600000",
    "number": "1013640093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 POPE AVE APT 8",
            "city": "FORT LEAVENWORTH",
            "state": "KS",
            "postal_code": "660271383",
            "telephone_number": "410-960-5206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 POPE AVE APT 8",
            "city": "FORT LEAVENWORTH",
            "state": "KS",
            "postal_code": "660271383",
            "telephone_number": "410-960-5206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIBASILIO",
        "first_name": "ALEXANDRA",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-06",
        "last_updated": "2022-07-06",
        "certification_date": "2022-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MD",
            "license": "R249243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ernest Francia Degenhardt, NURSE PRACTITIONER
• Dentrust Kansas, PA
• Anise Gabrielle Derosin
• Celia Dial, R.N.
• Cory Austin Diaz, DDS
• Jennifer Dick, RN
• Judith Ann Dickie, PHARMD, RPH
• Jeffrey Jay Dietrich, RPH
• Jennifer Marlene Diggs, LPN
• Robin Nadine Diviney, RN

• Primary Care Nurse Practitioner in Fort Leavenworth, KS
• Providers in Fort Leavenworth, KS by specialty
• Primary Care Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.