Alexandra Boursiquot

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

R226935 Issued in MD

Practice address

4206 75TH Ave
Hyattsville, MD 20784-2318

Phone

(240) 413-1255

Fax

(301) 576-8573

NPI assigned

Jul 11, 2017

Last updated

Nov 25, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MD, DC2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Positive Pathways and Wellness Center

  • Psychiatric/Mental Health Nurse Practitioner
  • Hagerstown, MD
  • NPI 1679313761

  DC

  Medicare reassignment NPD Authorized official
• Bridge Integrating Group Practice LLC

  • Psychiatric/Mental Health Registered Nurse
  • Baltimore, MD
  • NPI 1821711706
  Medicare reassignment NPD
• Better Care Connection LLC

  • In Home Supportive Care Agency
  • Washington, DC
  • NPI 1972179836
  NPD Authorized official
• Nurses for Care, Inc

  • Home Health Agency
  • Olney, MD
  • NPI 1629669130
  Authorized official Same address or phone
• Mindfulpathdc

  • Psychiatric/Mental Health Nurse Practitioner
  • Gwynn Oak, MD
  • NPI 1710816715
  NPD (past)

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

{
    "created_epoch": "1499731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764028800000",
    "number": "1245752278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4206 75TH AVE",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207842318",
            "telephone_number": "240-413-1255",
            "fax_number": "301-576-8573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4206 75TH AVE",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207842318",
            "telephone_number": "240-413-1255",
            "fax_number": "301-576-8573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOURSIQUOT",
        "first_name": "ALEXANDRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-11",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "DC",
            "license": "RN1044797",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R226935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory Booth
• Bernadette Latricia Boozer-Madison, PHD, MSW, LMFT
• Justin Borbe, OTR/L
• Caroline Sakwe Boseme Epse Ebong
• Denee Bottoms
• Elisa K Bower, PHARMD
• Darren Boyce
• Jasmine Boyd, LMSW
• Alexina Bratton, M.A. SLP-CF
• Caroline Elizabeth Braun

• Psychiatric/Mental Health Nurse Practitioner in Hyattsville, MD
• Providers in Hyattsville, MD by specialty
• Psychiatric/Mental Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.