Active NPI
Alexandra Pezzi Rodkey, RN, CRNA
- Certified Registered Nurse Anesthetist
- Tacoma, WA
National Provider Identifier
1205409067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- AP61431607
- Practice address
- 9040 Jackson Ave
Tacoma, WA 98431-3307 - Phone
- (253) 968-2252
- NPI assigned
- Jul 20, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN1038631 | DC | |
| Certified Registered Nurse Anesthetist | 367500000X | 24184424 | VA | |
| Certified Registered Nurse Anesthetist | 367500000X | AP61431607 | WA | Primary |
Addresses
Primary practice location
9040 Jackson Ave
Tacoma, WA 98431-3307
Mailing address
8024 115TH Street CT E
Puyallup, WA 98373-4618
Phone (215) 350-1288
Other practice location 1
3300 Gallows Rd
Falls Church, VA 22042-3307
Phone (703) 776-3138
Other names 1
- Alexandra Lauren Pezzi
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Georgetown University School of Medicine, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
407 14TH Ave SE
Puyallup, WA 98372-3770
Phone (253) 848-6661
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN1038631 | DC | MD | Registered Nurse |
| 24184424 | VA | MD | Certified Registered Nurse Anesthetist |
| AP61431607 | WA | MD | Certified Registered Nurse Anesthetist |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Puyallup, WA
- NPI 1487637013
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703376000000",
"number": "1205409067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8024 115TH STREET CT E",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983734618",
"telephone_number": "215-350-1288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9040 JACKSON AVE",
"city": "TACOMA",
"state": "WA",
"postal_code": "984313307",
"telephone_number": "253-968-2252"
}
],
"practiceLocations": [
{
"address_1": "3300 Gallows Rd",
"address_purpose": "LOCATION",
"city": "Falls Church",
"state": "VA",
"postal_code": "220423307",
"country_code": "US",
"telephone_number": "703-776-3138",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RODKEY",
"first_name": "ALEXANDRA",
"middle_name": "PEZZI",
"credential": "RN, CRNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-07-20",
"last_updated": "2023-12-24",
"certification_date": "2023-12-24",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "DC",
"license": "RN1038631",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "VA",
"license": "24184424",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WA",
"license": "AP61431607",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ALEXANDRA",
"last_name": "PEZZI",
"middle_name": "LAUREN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.