Individual provider Active NPI

Alexa Danielle Longoria, DNP, FNP

  • Family Nurse Practitioner
  • Cheyenne, WY
National Provider Identifier
1346086519
Registry record updated Jul 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
54860 Issued in WY
Practice address
214 E 23Rd St
Cheyenne, WY 82001-3748
Phone
(307) 634-2273
NPI assigned
Jul 8, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 54860 WY Primary

Addresses

Primary practice location

214 E 23Rd St
Cheyenne, WY 82001-3748

Mailing address

8482 Cromwell Dr Unit 3
Windsor, CO 80528-8642
Phone (308) 672-7631

Other practice location 1

255 W 4th St
Kimball, NE 69145-1706
Phone (308) 235-1951

Other practice location 2

255 N 30th St
Laramie, WY 82072-5195
Phone (307) 742-2141

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240827003664 NE Practitioner - Nurse Practitioner 8820537426 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regional West Physicians ClinicGroup PAC ID 2062301609, 136 clinicians

Practice addresses (Care Compare)

3011 Ave B
Scottsbluff, NE 69361-4372
Phone (308) 632-2215

Hospital & facility affiliations

  • Regional West Medical Center Hospital, Scottsbluff, NE, CCN 280061

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
54860WYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Regional West Physicians Clinic CurrentSince Feb 1, 2025 Accepting new patients
Regional West Physicians Clinic Past Accepting new patients
Ivinson Memorial Hospital Past Accepting new patients

Locations

255 W 4th St
Kimball, NE 69145
Phone (308) 235-1951

3011 Avenue B
Scottsbluff, NE 69361
Phone (308) 630-2215

3911 Avenue B
Ste 1100
Scottsbluff, NE 69361
Phone (308) 630-1355

3911 Avenue B
Ste G200
Scottsbluff, NE 69361
Phone (308) 630-1355

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1720396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720396800000",
    "number": "1346086519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8482 CROMWELL DR UNIT 3",
            "city": "WINDSOR",
            "state": "CO",
            "postal_code": "805288642",
            "telephone_number": "308-672-7631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 E 23RD ST",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820013748",
            "telephone_number": "307-634-2273"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "255 W 4th St",
            "address_purpose": "LOCATION",
            "city": "Kimball",
            "state": "NE",
            "postal_code": "691451706",
            "country_code": "US",
            "telephone_number": "308-235-1951",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "255 N 30th St",
            "address_purpose": "LOCATION",
            "city": "Laramie",
            "state": "WY",
            "postal_code": "820725195",
            "country_code": "US",
            "telephone_number": "307-742-2141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LONGORIA",
        "first_name": "ALEXA",
        "middle_name": "DANIELLE",
        "credential": "DNP, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-08",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WY",
            "license": "54860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheyenne, WY

Sources for this page

Verify at the official NPI Registry.