Individual provider Active NPI

Annetta Cheryl Alexander, M.D

  • Internal Medicine Physician
  • Vero Beach, FL
National Provider Identifier
1356545131
Registry record updated Feb 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2011-01282 Issued in NC
Practice address
4165 9TH St SW
Vero Beach, FL 32968-4878
Phone
(772) 569-7706
Fax
(772) 569-7752
NPI assigned
Jun 13, 2007
Last updated
Feb 4, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2011-01282 NC Primary
Pediatrics Physician 208000000X 2011-01282 NC

Addresses

Primary practice location

4165 9TH St SW
Vero Beach, FL 32968-4878

Mailing address

4165 9TH St SW
Vero Beach, FL 32968-4878
Phone (772) 569-7706

Other identifiers 1

IdentifierTypeStateIssuer
5918705MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220225000983 VI Practitioner - Internal Medicine 7911171012

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Frederiksted Health Care, Inc.Group PAC ID 7911818778, shared by 3 NPIs, 11 clinicians

Practice addresses (Care Compare)

516 Strand St
Frederiksted, VI 00840-3533

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Interoperability endpoints

  • Direct secure messaging: annettsa.alexnder.d1.p1@direct.frederikstedhealthvi.nextgenshare.com

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": "1181692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359936000000",
    "number": "1356545131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4165 9TH ST SW",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329684878",
            "telephone_number": "772-569-7706",
            "fax_number": "772-569-7752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4165 9TH ST SW",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329684878",
            "telephone_number": "772-569-7706",
            "fax_number": "772-569-7752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEXANDER",
        "first_name": "ANNETTA",
        "middle_name": "CHERYL",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-13",
        "last_updated": "2013-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2011-01282",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "2011-01282",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5918705",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

Verify at the official NPI Registry.