Alexandra Kieweg, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11028348 Issued in FL

Practice address

4575 US Highway 17 Ste 340
Fleming Island, FL 32003-4825

Phone

(904) 526-7481

NPI assigned

Feb 13, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1707782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1134984792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 MAGNOLIA DUNES CIR",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320806585",
            "telephone_number": "513-316-7715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4575 US HIGHWAY 17 STE 340",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320034825",
            "telephone_number": "904-526-7481"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2050 Saint Johns Pkwy Ste 106",
            "address_purpose": "LOCATION",
            "city": "St Johns",
            "state": "FL",
            "postal_code": "322594593",
            "country_code": "US",
            "telephone_number": "904-526-7480",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIEWEG",
        "first_name": "ALEXANDRA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-13",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11028348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth C. Kent, M.D.
• Niajah Kessler
• Barbara B Ketchum, LMHC LIC MENTAL HEAL
• Richard William Keys, PT
• Lilit Khaikin
• Emily Lorraine King, MS, CCC-SLP
• Roberta King, ROBERTA KING OTR/L
• Caroline R Kiser, D.P.M.
• Kristen D Kite-Cataldo
• Spencer Chapman Knox, M.D.

• Family Nurse Practitioner in Fleming Island, FL
• Providers in Fleming Island, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.