Individual provider Active NPI

Alexis F Norton, CPNP

  • Pediatric Nurse Practitioner
  • Raleigh, NC
National Provider Identifier
1609488535
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
5013455 Issued in NC
Practice address
5904 Six Forks Rd Ste 111
Raleigh, NC 27609-8228
Phone
(919) 787-9555
Fax
(919) 510-5111
NPI assigned
Aug 21, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X FERN-A0FNW NC
Pediatric Nurse Practitioner 363LP0200X 5013455 NC Primary

Addresses

Primary practice location

5904 Six Forks Rd Ste 111
Raleigh, NC 27609-8228

Mailing address

5904 Six Forks Rd Ste 111
Raleigh, NC 27609-8228
Phone (919) 787-9555

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
Certified Pediatric Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5013455NCMDPediatric Nurse Practitioner
FERN-A0FNWNCMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Partners PA CurrentSince Jun 23, 2024 Accepting new patients
Nitelite Pediatric Urgent Care PastSince Aug 1, 2020 Accepting new patients
Sunshine Pediatrics, PA PastSince Aug 1, 2020 Accepting new patients

Locations

5904 Six Forks Rd
Ste 111
Raleigh, NC 27609
Phone (919) 787-9555

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11782/brand/1/csg/1/fhir/r4
  • Direct secure messaging: alexis.fernandez.1@11782.direct.athenahealth.com

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": "1597968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1609488535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5904 SIX FORKS RD STE 111",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276098228",
            "telephone_number": "919-787-9555",
            "fax_number": "919-510-5111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5904 SIX FORKS RD STE 111",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276098228",
            "telephone_number": "919-787-9555",
            "fax_number": "919-510-5111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORTON",
        "first_name": "ALEXIS",
        "middle_name": "F",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-21",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NC",
            "license": "FERN-A0FNW",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NC",
            "license": "5013455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2024; 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.