Active NPI
Devin Alexander, M.D.
- Pediatrics Physician
- Randolph, VT
National Provider Identifier
1114372109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 0420014471
- Practice address
- 44 S Main St
Randolph, VT 05060-1381 - Phone
- (802) 728-2420
- NPI assigned
- Apr 27, 2016
- Last updated
- Sep 24, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 0420014471 | VT | Primary |
Addresses
Primary practice location
44 S Main St
Randolph, VT 05060-1381
Mailing address
44 S Main St
Randolph, VT 05060-1381
Phone (802) 728-2420
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0420014471 | VT | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569283200000",
"number": "1114372109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44 S MAIN ST",
"city": "RANDOLPH",
"state": "VT",
"postal_code": "050601381",
"telephone_number": "802-728-2420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44 S MAIN ST",
"city": "RANDOLPH",
"state": "VT",
"postal_code": "050601381",
"telephone_number": "802-728-2420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALEXANDER",
"first_name": "DEVIN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-27",
"last_updated": "2019-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "VT",
"license": "0420014471",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Randolph, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2019; 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.