Alexandra Adam, ARNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

C156618 Issued in IA

Practice address

804 Kenyon Rd Ste D
Fort Dodge, IA 50501-5744

Phone

(515) 574-6855

Fax

(515) 573-7274

NPI assigned

Sep 26, 2019

Sex

Female

Sole proprietor

No

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.

• Trinity Regional Medical Center

  • Emergency Medicine Physician
  • Fort Dodge, IA
  • NPI 1073594156
  Medicare reassignment NPD IA
• St Luke'S Methodist Hospital

  • General Acute Care Hospital
  • Cedar Rapids, IA
  • NPI 1083708226
  NPD

Medicare fee-for-service enrollment

Enrolled in IA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: aadam8166@direct.unitypoint.org

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 26, 2019.

{
    "created_epoch": "1569456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569456000000",
    "number": "1659922912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 KENYON RD STE D",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505015744",
            "telephone_number": "515-574-6855",
            "fax_number": "515-573-7274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 KENYON RD STE D",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505015744",
            "telephone_number": "515-574-6855",
            "fax_number": "515-573-7274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAM",
        "first_name": "ALEXANDRA",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-26",
        "last_updated": "2019-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "IA",
            "license": "C156618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• A-1 Home Healthcare Service Co
• Acree Chiropractic Clinic PLC
• Tabitha Lynn Acree, LISW
• William Benjamin Acree, D.C.
• Active Health Clinics
• Debra Marie Adams, ARNP
• Kenneth W Adams, D.O.
• Savannah Meshel Adkins, CADC
• Ak Dornath LLC Dba Renewed Hope Counseling
• Madison Lee Alachniewicz, CADC

• All providers in Fort Dodge, IA
• Pediatric Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.