Individual provider Active NPI

Alexandra D Schutt, DNP, CPNP-PC, ARNP

  • Pediatric Nurse Practitioner
  • Olympia, WA
National Provider Identifier
1396273090
Registry record updated May 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
AP60747582 Issued in WA
Practice address
3023 Pacific Ave SE
Olympia, WA 98501-2042
Phone
(360) 528-4220
Fax
(360) 528-4226
NPI assigned
May 25, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X AP60747582 WA Primary

Addresses

Primary practice location

3023 Pacific Ave SE
Olympia, WA 98501-2042

Mailing address

4109 Ingleside Loop SE
Lacey, WA 98503-2107
Phone (253) 973-0232

Other names 1

  • Alexandra D Ciarochi Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20201118001168 WA Practitioner - Nurse Practitioner 8729499074 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP60747582WAMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System Current Accepting new patients
Multicare Health System CurrentSince Aug 13, 2020 Accepting new patients
Multicare Health System CurrentSince Aug 13, 2020 Accepting new patients
Multicare Health System Past Accepting new patients
Healthy Future Pediatrics Past Accepting new patients

Locations

505 S 336th St
Ste 210
Federal Way, WA 98003
Phone (253) 383-5777

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1495670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1495670400000",
    "number": "1396273090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4109 INGLESIDE LOOP SE",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985032107",
            "telephone_number": "253-973-0232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3023 PACIFIC AVE SE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985012042",
            "telephone_number": "360-528-4220",
            "fax_number": "360-528-4226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUTT",
        "first_name": "ALEXANDRA",
        "middle_name": "D",
        "credential": "DNP, CPNP-PC, ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-25",
        "last_updated": "2017-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "WA",
            "license": "AP60747582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXANDRA",
            "last_name": "CIAROCHI",
            "middle_name": "D",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Olympia, WA

Sources for this page

Verify at the official NPI Registry.