Individual provider Active NPI

Alexandra Thompson

  • Nurse Practitioner
  • Little Rock, AR
National Provider Identifier
1043950785
Registry record updated Mar 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
219371 Issued in AR
Practice address
5 Saint Vincent Cir Ste 501
Little Rock, AR 72205-5414
Phone
(501) 666-2894
NPI assigned
Mar 30, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 219371 AR Primary

Addresses

Primary practice location

5 Saint Vincent Cir Ste 501
Little Rock, AR 72205-5414

Mailing address

611 Joseph Dr
Alexander, AR 72002-7026

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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 1

Enrollment IDStateProvider typePAC IDDetails
I20220525000457 AR Practitioner - Nurse Practitioner 2466839840 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jack Stephens Heart Institute LLC CurrentSince May 1, 2021 Accepting new patients
Watkins, Bauer & Meadors, P.a. PastSince May 1, 2021 Accepting new patients

Locations

5 Saint Vincent Cir
Ste 501
Little Rock, AR 72205
Phone (501) 666-2894

10100 Kanis Rd
Little Rock, AR 72205
Phone (501) 255-6000

Interoperability endpoints

  • Direct secure messaging: athompson458653@direct.stlukeshealth.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1648598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648598400000",
    "number": "1043950785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 JOSEPH DR",
            "city": "ALEXANDER",
            "state": "AR",
            "postal_code": "720027026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 SAINT VINCENT CIR STE 501",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722055414",
            "telephone_number": "501-666-2894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "ALEXANDRA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-30",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AR",
            "license": "219371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.