Alexis Stephen Brock, RN

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

RN00157932 Issued in WA

Practice address

17 E 8TH Ave
Spokane, WA 99202-1201

Phone

(509) 638-7426

NPI assigned

Nov 22, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1700611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1295500858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19520 E KALAMA AVE",
            "city": "GREENACRES",
            "state": "WA",
            "postal_code": "990165304",
            "telephone_number": "509-638-7426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 E 8TH AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992021201",
            "telephone_number": "509-638-7426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCK",
        "first_name": "ALEXIS",
        "middle_name": "STEPHEN",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-11-22",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WA",
            "license": "RN00157932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Haugen Counseling PLLC
• Rebecca Britton
• Talmage Jay Broadbent, MD,PHD
• Jessica Marie Broadfield, MA, LMHCA
• Ivy Raine Broadrick
• Greg R Brockbank, DPM
• Ethan Lee Brockett, DDS
• Brianna Babe-Dorothy Brockie, BDC.BD.70124549
• Jaime Lynn Brockie
• Leslie Anne Brockman, LICSW

• All providers in Spokane, WA
• Skilled Nursing Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.