Active NPI
Gwyneth M Alexander, FNP
- Family Nurse Practitioner
- Hauppauge, NY
National Provider Identifier
1346577939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F336046-1
- Practice address
- 1 Kings Hwy
Hauppauge, NY 11788-4216 - Phone
- (631) 348-4900
- Fax
- (631) 348-0273
- NPI assigned
- Nov 3, 2009
- 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 | F336046-1 | NY | Primary |
Addresses
Primary practice location
1 Kings Hwy
Hauppauge, NY 11788-4216
Mailing address
21 Overlook Dr
Farmingville, NY 11738-3102
Phone (631) 348-4900
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F336046-1 | NY | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257206400000",
"number": "1346577939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 OVERLOOK DR",
"city": "FARMINGVILLE",
"state": "NY",
"postal_code": "117383102",
"telephone_number": "631-348-4900",
"fax_number": "631-348-0273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 KINGS HWY",
"city": "HAUPPAUGE",
"state": "NY",
"postal_code": "117884216",
"telephone_number": "631-348-4900",
"fax_number": "631-348-0273"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALEXANDER",
"first_name": "GWYNETH",
"middle_name": "M",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-11-03",
"last_updated": "2009-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F336046-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hauppauge, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.