Active NPI
Alexa Danielle Longoria, DNP, FNP
- Family Nurse Practitioner
- Cheyenne, WY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 54860
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
Practice addresses (Care Compare)
3011 Ave B
Scottsbluff, NE 69361-4372
Phone (308) 632-2215
Hospital & facility affiliations
- Regional West Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 54860 | WY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regional West Physicians Clinic | Current | 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.
-
- Family Medicine Physician
- Scottsbluff, NE
- NPI 1306910534
-
- Rural Health Clinic/Center
- Laramie, WY
- NPI 1033628599
-
- Rural Health Clinic/Center
- Mitchell, NE
- NPI 1992703425
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Scottsbluff, NE
- NPI 1639101199
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.