Individual provider Active NPI

Alexander Christian Fox, RN, PMNHP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Saint Louis, MO
National Provider Identifier
1376296269
Registry record updated Jan 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
2021160622 Issued in MO
Practice address
5300 Arsenal St
Saint Louis, MO 63139-1463
Phone
(314) 877-6501
NPI assigned
Jan 31, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2021160622 MO Primary

Addresses

Primary practice location

5300 Arsenal St
Saint Louis, MO 63139-1463

Mailing address

4223 Shenandoah Ave
Saint Louis, MO 63110-3512
Phone (314) 550-8609

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20220615000188 MO Practitioner - Nurse Practitioner 5890174288 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2021160622MOMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
State of Missouri CurrentSince Mar 15, 2022 Accepting new patients
State of Missouri CurrentSince Mar 15, 2022 Accepting new patients

Locations

5300 Arsenal St
Ste F12
Saint Louis, MO 63139

5300 Arsenal St
Saint Louis, MO 63139
Phone (314) 644-8000

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1643587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643587200000",
    "number": "1376296269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4223 SHENANDOAH AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631103512",
            "telephone_number": "314-550-8609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 ARSENAL ST",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631391463",
            "telephone_number": "314-877-6501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOX",
        "first_name": "ALEXANDER",
        "middle_name": "CHRISTIAN",
        "credential": "RN, PMNHP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-31",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MO",
            "license": "2021160622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.