Alexandra Staum Reif, CPNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

5236 Issued in MN

Practice address

1825 Woodwinds Dr
Woodbury, MN 55125-2202

Phone

(651) 323-6700

NPI assigned

Jul 10, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Ms. Alexandra Anne Staum Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Pediatric Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: areif714189@fairview.direct-ci.com

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.

• Child and Teen Medical Center

  • Pediatrics Physician
  • Blaine, MN
  • NPI 1225158520
  NPD
• Healtheast Medical Research Institute

  dba HealthEast Oakdale Clinic

  • Clinic/Center
  • Oakdale, MN
  • NPI 1073569935
  NPD (past)

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

{
    "created_epoch": "1499644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651104000000",
    "number": "1629590872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 UNIVERSITY AVE W",
            "address_2": "PROVIDER ENROLLMENT",
            "city": "ST PAUL",
            "state": "MN",
            "postal_code": "551043727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 WOODWINDS DR",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551252202",
            "telephone_number": "651-323-6700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11107 Ulysses Street NE",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Blaine",
            "state": "MN",
            "postal_code": "55434",
            "country_code": "US",
            "telephone_number": "763-333-7733",
            "fax_number": "763-333-7711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REIF",
        "first_name": "ALEXANDRA",
        "middle_name": "STAUM",
        "name_prefix": "Mrs.",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-10",
        "last_updated": "2022-04-28",
        "certification_date": "2022-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MN",
            "license": "5236",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CNP",
            "identifier": "5236",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MN RN LICENSE",
            "identifier": "245678-8",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXANDRA",
            "last_name": "STAUM",
            "middle_name": "ANNE",
            "prefix": "MS.",
            "credential": "CPNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Regions Hospital (Regions Hospital Woodbury Specialty Center Pharmacy)
• Regions Hospital
• Jamie Rei
• Kelsey Reineke
• Reliable Quality Care LLC
• Reliance Healthcare
• Brent Joseph Reller
• Renewal Counseling Services, Inc.

• Pediatric Nurse Practitioner in Woodbury, MN
• Providers in Woodbury, MN by specialty
• Pediatric Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2022; 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.