Individual provider Active NPI

Alixandra Taite Mulry, RN, BSN

  • Registered Nurse
  • East Islip, NY
National Provider Identifier
1023926425
Registry record updated Aug 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
913914 Issued in NY
Practice address
103 Hollins LN
East Islip, NY 11730-3006
Phone
(631) 838-8281
NPI assigned
Aug 28, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 913914 NY Primary

Addresses

Primary practice location

103 Hollins LN
East Islip, NY 11730-3006

Mailing address

103 Hollins LN
East Islip, NY 11730-3006
Phone (631) 838-8281

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1787875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787875200000",
    "number": "1023926425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 HOLLINS LN",
            "city": "EAST ISLIP",
            "state": "NY",
            "postal_code": "117303006",
            "telephone_number": "631-838-8281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 HOLLINS LN",
            "city": "EAST ISLIP",
            "state": "NY",
            "postal_code": "117303006",
            "telephone_number": "631-838-8281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULRY",
        "first_name": "ALIXANDRA",
        "middle_name": "TAITE",
        "name_prefix": "Miss",
        "credential": "RN, BSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-28",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "913914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Islip, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.