Individual provider Active NPI

Sally Ann Alexander, DNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1417352196
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP7318 Issued in AZ
Practice address
11022 S 51St St Ste 250
Phoenix, AZ 85044-4319
Phone
(928) 426-0000
Fax
(833) 989-0980
NPI assigned
Oct 24, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

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 AP7318 AZ Primary

Addresses

Primary practice location

11022 S 51St St Ste 250
Phoenix, AZ 85044-4319

Mailing address

11022 S 51St St Ste 250
Phoenix, AZ 85044-4319
Phone (928) 426-0000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20150325001408 AZ Practitioner - Nurse Practitioner 8224354709 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4425 E Agave Rd
Suite 106
Phoenix, AZ 85044-0620
Phone (928) 426-0000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP7318AZMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Family & Children'S Service CurrentSince Jan 6, 2016 Accepting new patients
Jewish Family & Children'S Service CurrentSince Jan 6, 2016 Accepting new patients
Mind Over Matter Mental Health, PLLC CurrentSince Oct 2, 2020 Accepting new patients

Locations

4747 N 7th St
Ste 100
Phoenix, AZ 85014
Phone (602) 279-7655

2033 N 7th St
Phoenix, AZ 85006
Phone (602) 257-9314

11011 S 48th St
Ste 200
Phoenix, AZ 85044
Phone (480) 557-5710

11022 S 51st St
Ste 250
Phoenix, AZ 85044
Phone (480) 939-6137

4425 E Agave Rd
Ste 106
Phoenix, AZ 85044
Phone (480) 363-7431

Interoperability endpoints

  • Direct secure messaging: sally.alexander.1@22600.direct.athenahealth.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

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": "1414108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1417352196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11022 S 51ST ST STE 250",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850444319",
            "telephone_number": "928-426-0000",
            "fax_number": "833-989-0980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11022 S 51ST ST STE 250",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850444319",
            "telephone_number": "928-426-0000",
            "fax_number": "833-989-0980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEXANDER",
        "first_name": "SALLY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-24",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "AP7318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.