Active NPI
Alexis Williams, HAIR LOSS SPECILAIST
- Prosthetics Case Management
- Saint Louis, MO
National Provider Identifier
1336698364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetics Case Management
- License
- 2004012391
- Practice address
- 5874 Delmar Blvd
Suite 201 & 202
Saint Louis, MO 63112-2338 - Phone
- (314) 833-5205
- NPI assigned
- Oct 3, 2016
- 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 |
|---|---|---|---|---|
| Prosthetics Case Management | 1744P3200X | 2004012391 | MO | Primary |
Addresses
Primary practice location
5874 Delmar Blvd
Suite 201 & 202
Saint Louis, MO 63112-2338
Mailing address
5874 Delmar Blvd
Suite 201 & 202
Saint Louis, MO 63112-2338
Phone (314) 833-5205
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2004012391 | MO | MD | Prosthetics Case Management |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475452800000",
"number": "1336698364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5874 DELMAR BLVD",
"address_2": "SUITE 201 & 202",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631122338",
"telephone_number": "314-833-5205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5874 DELMAR BLVD",
"address_2": "SUITE 201 & 202",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631122338",
"telephone_number": "314-833-5205"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "ALEXIS",
"name_prefix": "Mrs.",
"credential": "HAIR LOSS SPECILAIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-03",
"last_updated": "2016-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "1744P3200X",
"taxonomy_group": "",
"desc": "Specialist, Prosthetics Case Management",
"state": "MO",
"license": "2004012391",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.