Individual provider Active NPI

Alexandra Schuyler Donwerth, FNP

  • Pediatric Registered Nurse
  • Bethany, OK
National Provider Identifier
1265898761
Registry record updated Jan 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Registered NurseTaxonomy code 163WP0200X
License
99629 Issued in OK
Practice address
6800 NW 39TH Expy
Bethany, OK 73008-2513
Phone
(405) 440-9866
Fax
(405) 782-0024
NPI assigned
Jan 13, 2016
Last updated
Jan 13, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Registered Nurse 163WP0200X 99629 OK Primary

Addresses

Primary practice location

6800 NW 39TH Expy
Bethany, OK 73008-2513

Mailing address

6800 NW 39TH Expy
Bethany, OK 73008-2513
Phone (405) 440-9866

Other names 1

  • Alexandra Schuyler Gnoff Former name

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

State licenses

LicenseStateTypeSpecialty
99629OKMDPediatric Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Center Past Accepting new patients
The Children's Center Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1452643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452643200000",
    "number": "1265898761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6800 NW 39TH EXPY",
            "city": "BETHANY",
            "state": "OK",
            "postal_code": "730082513",
            "telephone_number": "405-440-9866",
            "fax_number": "405-782-0024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 NW 39TH EXPY",
            "city": "BETHANY",
            "state": "OK",
            "postal_code": "730082513",
            "telephone_number": "405-440-9866",
            "fax_number": "405-782-0024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONWERTH",
        "first_name": "ALEXANDRA",
        "middle_name": "SCHUYLER",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-13",
        "last_updated": "2016-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "OK",
            "license": "99629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXANDRA",
            "last_name": "GNOFF",
            "middle_name": "SCHUYLER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bethany, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2016; 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.