Alexis Anne Bobek, APRN
Individual provider Active NPI Adult Psychiatric/Mental Health Clinical Nurse Specialist · Westerly, RI
NPI 1134553167 · NPPES record last updated Feb 9, 2017
Key facts
- NPI
- 1134553167
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Psychiatric/Mental Health Clinical Nurse Specialist 364SP0809X
- License
- APRN00130 (RI)
- Practice address
- 85 Beach St
Building B
Westerly, RI 02891-2717 - Phone
- (401) 596-6866
- Fax
- (401) 596-0493
- NPI assigned
- Aug 27, 2013
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
- Opted out of Medicare
- Yes, effective Oct 1, 2016 through Oct 1, 2026
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN00130 | RI | MD | Adult Psychiatric/Mental Health Clinical Nurse Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0809X | APRN00130 | RI | Yes |
Addresses
Primary practice location
85 Beach St
Building B
Westerly, RI 02891-2717
Mailing address
166 Fenner Hill Rd
Hope Valley, RI 02832-1227
Phone (508) 572-4110
Other providers in Westerly, RI
- Russell N. Bingham
- Colette Bissonnette
- Jamie Blalock
- Shana Lee Bloom
- Alyssa Kay Boardman
- Peter E. Bolton
- Baokim Nguyen Bonelli
- Caitlin Elizabeth Bouchard
- Jodie Elizabeth Boumenot
- Marcia Bourque-Moreno
All providers in Westerly, RI · Adult Psychiatric/Mental Health Clinical Nurse Specialist in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 9, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.