Individual provider Active NPI

Alexandra Penzias, DNP, APRN, ACNS-BC

  • Adult Health Clinical Nurse Specialist
  • Northampton, MA
National Provider Identifier
1578048757
Registry record updated Oct 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Clinical Nurse SpecialistTaxonomy code 364SA2200X
License
242773 Issued in MA
Practice address
30 Locust St
Northampton, MA 01060-2052
Phone
(857) 939-9024
NPI assigned
Oct 3, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Clinical Nurse Specialist 364SA2200X 242773 MA Primary

Addresses

Primary practice location

30 Locust St
Northampton, MA 01060-2052

Mailing address

57 Hillcrest Ave
Longmeadow, MA 01106-1012
Phone (857) 939-9024

Other identifiers 1

IdentifierTypeStateIssuer
242773OtherMAMA BOARD OF REGISTRATION IN NURSING

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

NPI Registry JSON

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

{
    "created_epoch": "1538524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538524800000",
    "number": "1578048757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 HILLCREST AVE",
            "city": "LONGMEADOW",
            "state": "MA",
            "postal_code": "011061012",
            "telephone_number": "857-939-9024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 LOCUST ST",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010602052",
            "telephone_number": "857-939-9024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENZIAS",
        "first_name": "ALEXANDRA",
        "name_prefix": "Ms.",
        "credential": "DNP, APRN, ACNS-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-03",
        "last_updated": "2018-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "MA",
            "license": "242773",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MA BOARD OF REGISTRATION IN NURSING",
            "identifier": "242773",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Northampton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2018; 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.