Alexandra Andraski, CRNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

SP022487 Issued in PA

Practice address

2109 Red Lion Rd
Philadelphia, PA 19115-1711

Phone

(732) 486-7373

Fax

(732) 782-7200

NPI assigned

Sep 15, 2020

Last updated

Sep 19, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1600128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600473600000",
    "number": "1508471541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 POWELTON AVE APT A107",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191042400",
            "telephone_number": "608-312-9078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2109 RED LION RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191151711",
            "telephone_number": "732-486-7373",
            "fax_number": "732-782-7200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "685 River Ave",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "NJ",
            "postal_code": "087015288",
            "country_code": "US",
            "telephone_number": "732-486-7373",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDRASKI",
        "first_name": "ALEXANDRA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-15",
        "last_updated": "2020-09-19",
        "certification_date": "2020-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "SP022487",
            "primary": true
        },
        {
            "code": "163WG0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Gerontology",
            "state": "PA",
            "license": "RN693565",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andorra Radiology Associates, P.C.
• Francisco Alonso Andrade, MD, MBS, MS
• Gizely Andrade, MD PHD
• Marah Lynn Andrade, PA-C
• Sisira Kumara Andrahennady, M.D.
• Amy Noelle Andre McNamee, PSYD
• Lisete Andre, FNTP
• Andrea D. Pedano, D.O., P.C.
• Charalambos I Andreadis, MD
• Cathryn Andreanidis

• Adult Health Nurse Practitioner in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Adult Health Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.