Active NPI
Alexia Dudoit, NP
- Gerontology Nurse Practitioner
- Bend, OR
National Provider Identifier
1497645402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 10046934
- Practice address
- 780 NW York Dr Ste 104
Bend, OR 97703-1054 - Phone
- (541) 213-8768
- NPI assigned
- Jul 9, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 10046934 | OR | Primary |
Addresses
Primary practice location
780 NW York Dr Ste 104
Bend, OR 97703-1054
Mailing address
780 NW York Dr Ste 104
Bend, OR 97703-1054
Phone (541) 213-8768
Other names 1
- Alexia Grimstad
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10046934 | OR | MD | Gerontology Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1752019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752537600000",
"number": "1497645402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "780 NW YORK DR STE 104",
"city": "BEND",
"state": "OR",
"postal_code": "977031054",
"telephone_number": "541-213-8768"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "780 NW YORK DR STE 104",
"city": "BEND",
"state": "OR",
"postal_code": "977031054",
"telephone_number": "541-213-8768"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUDOIT",
"first_name": "ALEXIA",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-07-09",
"last_updated": "2025-07-15",
"certification_date": "2025-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "OR",
"license": "10046934",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ALEXIA",
"last_name": "GRIMSTAD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Bend, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.