Active NPI
Alexandria Wilson
- Case Manager/Care Coordinator
- Sacramento, CA
National Provider Identifier
1215464342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 2424 Hurley Way Apt 10
Sacramento, CA 95825-3651 - Phone
- (951) 567-3820
- NPI assigned
- May 19, 2017
- 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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
2424 Hurley Way Apt 10
Sacramento, CA 95825-3651
Mailing address
7996 La Riviera Dr Apt 7
Sacramento, CA 95826-1617
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 171M00000X | Other | 171M00000X |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557964800000",
"number": "1215464342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7996 LA RIVIERA DR APT 7",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958261617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2424 HURLEY WAY APT 10",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958253651",
"telephone_number": "951-567-3820"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "ALEXANDRIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-19",
"last_updated": "2019-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "171M00000X",
"identifier": "171M00000X",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.