Individual provider Active NPI

Alexandria Burringo, PA-C

  • Medical Physician Assistant
  • Tooele, UT
National Provider Identifier
1356817423
Registry record updated Jan 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
11448584-1206 Issued in UT
Practice address
30 S Tooele Blvd
Tooele, UT 84074-2093
Phone
(435) 248-0333
Fax
(435) 248-0334
NPI assigned
Oct 16, 2018
Last updated
Jan 22, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU
Physician Assistant 363A00000X UT
Medical Physician Assistant 363AM0700X 11448584-1206 UT Primary
Student in an Organized Health Care Education/Training Program 390200000X NU

Addresses

Primary practice location

30 S Tooele Blvd
Tooele, UT 84074-2093

Mailing address

30 S Tooele Blvd
Tooele, UT 84074-2093
Phone (435) 248-0333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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
I20210210002429 UT Practitioner - Physician Assistant 7810302544 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Patrick Green MD PLLCGroup PAC ID 6204000102, 8 clinicians

Practice addresses (Care Compare)

134 W 1180
Suite 5
Tooele, UT 84074-1483

30 S Tooele Blvd
Tooele, UT 84074-2093
Phone (435) 248-0333

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Patrick Green MD PLLC Single Specialty CurrentSince Jan 1, 2021 Accepting new patients

Locations

134 W 1180 N
Ste 5
Tooele, UT 84074
Phone (435) 248-0333

Interoperability endpoints

  • Direct secure messaging: alexandria.burringo.1@3781.direct.athenahealth.com

Organizations & group practices 1

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

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": "1539648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769040000000",
    "number": "1356817423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 S TOOELE BLVD",
            "city": "TOOELE",
            "state": "UT",
            "postal_code": "840742093",
            "telephone_number": "435-248-0333",
            "fax_number": "435-248-0334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 S TOOELE BLVD",
            "city": "TOOELE",
            "state": "UT",
            "postal_code": "840742093",
            "telephone_number": "435-248-0333",
            "fax_number": "435-248-0334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURRINGO",
        "first_name": "ALEXANDRIA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-16",
        "last_updated": "2026-01-22",
        "certification_date": "2026-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "UT",
            "license": "11448584-1206",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tooele, UT

Sources for this page

Verify at the official NPI Registry.