Tannie Alexander, REGISTERED NURSE

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

96155 Issued in LA

Practice address

648 Latiolais Dr
Breaux Bridge, LA 70517-4231

Phone

(337) 332-4878

Fax

(337) 332-4866

NPI assigned

Aug 2, 2021

Last updated

Aug 2, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1627862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627862400000",
    "number": "1295409530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "648 LATIOLAIS DR",
            "city": "BREAUX BRIDGE",
            "state": "LA",
            "postal_code": "705174231",
            "telephone_number": "337-332-4878",
            "fax_number": "337-332-4866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "648 LATIOLAIS DR",
            "city": "BREAUX BRIDGE",
            "state": "LA",
            "postal_code": "705174231",
            "telephone_number": "337-332-4878",
            "fax_number": "337-332-4866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEXANDER",
        "first_name": "TANNIE",
        "name_prefix": "Ms.",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-02",
        "last_updated": "2021-08-02",
        "certification_date": "2021-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "LA",
            "license": "96155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "BreauxBridge",
            "affiliation": "Y",
            "affiliationName": "BayMark Health Services of Louisiana, Inc.",
            "address_1": "648 Latiolais Dr",
            "city": "Breaux Bridge",
            "state": "LA",
            "country_code": "US",
            "postal_code": "705174231",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Activities of Daily Living Services Inc
• Alta Alexander
• Darla Alexander, RN
• Dawana Alexander
• Jasmine Alexander
• Alanna Allen
• Brandon Scott Ammon, MD
• Winford Louis Amos, LPC, LAC, CCS
• Angel Manor- Breaux Bridge
• Alex Angelle

• Registered Nurse in Breaux Bridge, LA
• Providers in Breaux Bridge, LA by specialty
• Registered Nurse in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2021; 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.