Active NPI
Robert Thomas Alexander, ACNP-BC, FNP-BC
- Family Nurse Practitioner
- Gilbert, AZ
National Provider Identifier
1073817896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP10014
- Practice address
- 2730 S Val Vista Dr
Suite 188
Gilbert, AZ 85295-1675 - Phone
- (480) 299-0589
- Fax
- (602) 391-2757
- NPI assigned
- Jan 8, 2011
- Last updated
- Apr 4, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | AP3870 | AZ | |
| Family Nurse Practitioner | 363LF0000X | AP10014 | AZ | Primary |
Addresses
Primary practice location
2730 S Val Vista Dr
Suite 188
Gilbert, AZ 85295-1675
Mailing address
21911 E Escalante Rd
Queen Creek, AZ 85142-4589
Phone (602) 524-8193
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP3870 | AZ | MD | Acute Care Nurse Practitioner |
| AP10014 | AZ | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alexander Medical LLC | Past | Accepting new patients | |
| Afc Physical Medicine of Gilbert, PLLC | Past | Accepting new patients | |
| Adult & Childrens Chiropractix, PC | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Tempe, AZ
- NPI 1245272426
-
- Clinic/Center
- Gilbert, AZ
- NPI 1114840030
-
- Physical Medicine & Rehabilitation Physician
- Gilbert, AZ
- NPI 1528345881
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491264000000",
"number": "1073817896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21911 E ESCALANTE RD",
"city": "QUEEN CREEK",
"state": "AZ",
"postal_code": "851424589",
"telephone_number": "602-524-8193",
"fax_number": "602-391-2757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2730 S VAL VISTA DR",
"address_2": "SUITE 188",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852951675",
"telephone_number": "480-299-0589",
"fax_number": "602-391-2757"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALEXANDER",
"first_name": "ROBERT",
"middle_name": "THOMAS",
"credential": "ACNP-BC, FNP-BC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-01-08",
"last_updated": "2017-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "AZ",
"license": "AP3870",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "AP10014",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2017; 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.