Individual provider Active NPI

Alexandra Lopez Lewis, MPAS

  • Physician Assistant
  • Lantana, FL
National Provider Identifier
1194719609
Registry record updated Jul 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA 9100654 Issued in FL
Practice address
401 W Lantana Rd
Suite #4
Lantana, FL 33462-1725
Phone
(561) 588-0015
Fax
(561) 586-9048
NPI assigned
Sep 12, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA 9100654 FL Primary

Addresses

Primary practice location

401 W Lantana Rd
Suite #4
Lantana, FL 33462-1725

Mailing address

401 W Lantana Rd
Suite #4
Lantana, FL 33462-1725
Phone (561) 588-0015

Other identifiers 1

IdentifierTypeStateIssuer
291213900MedicaidFL

Other names 1

  • Mrs. Alexandra L Perpignand Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20040309001169 FL Practitioner - Physician Assistant 6901794064 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Woman Care LLCGroup PAC ID 5395807218, 607 clinicians
Cora Health Services IncGroup PAC ID 1759290992, shared by 21 NPIs, 1,125 clinicians

Practice addresses (Care Compare)

2815 S Seacrest Blvd
Suite 112
Boynton Beach, FL 33435-7531
Phone (561) 737-7733

6801 Lake Worth Rd
Suite 100W
Greenacres, FL 33467-2965
Phone (561) 965-9559

7015 Beracasa Way
Cora Physical Therapy W Boca Raton
Boca Raton, FL 33433-3453
Phone (561) 939-2033

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA 9100654FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care Medical Associates, Inc. Past Accepting new patients
Womencare PA Past Accepting new patients
Primary Care Medical Associates Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: alexandra.lopez.lewis.1@2183.direct.athenahealth.com

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1126483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248652800000",
    "number": "1194719609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 W LANTANA RD",
            "address_2": "SUITE #4",
            "city": "LANTANA",
            "state": "FL",
            "postal_code": "334621725",
            "telephone_number": "561-588-0015",
            "fax_number": "561-586-9048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W LANTANA RD",
            "address_2": "SUITE #4",
            "city": "LANTANA",
            "state": "FL",
            "postal_code": "334621725",
            "telephone_number": "561-588-0015",
            "fax_number": "561-586-9048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "ALEXANDRA",
        "middle_name": "LOPEZ",
        "name_prefix": "Mrs.",
        "credential": "MPAS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-12",
        "last_updated": "2009-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA 9100654",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "291213900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXANDRA",
            "last_name": "PERPIGNAND",
            "middle_name": "L",
            "prefix": "MRS.",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lantana, FL

Sources for this page

Verify at the official NPI Registry.