Active NPI
Karen Gabriela Alexander, RND, LD/N
- Registered Dietitian
- Jacksonville, FL
National Provider Identifier
1679103600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- ND9486
- Practice address
- Ackerman Cancer Center
10881 San Jose Blvd
Jacksonville, FL 32223 - Phone
- (904) 880-5522
- Fax
- (904) 880-5533
- NPI assigned
- Jan 17, 2020
- Last updated
- Jan 17, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | ND9486 | FL | Primary |
Addresses
Primary practice location
Ackerman Cancer Center
10881 San Jose Blvd
Jacksonville, FL 32223
Mailing address
9397 Cumberland Isle Drive
Jacksonville, FL 32257
Phone (904) 250-2841
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kareng@ackermancancer.com |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ND9486 | FL | MD | Registered Dietitian |
Interoperability endpoints
- kareng@ackermancancer.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579219200000",
"number": "1679103600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9397 CUMBERLAND ISLE DRIVE",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "32257",
"telephone_number": "904-250-2841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ACKERMAN CANCER CENTER",
"address_2": "10881 SAN JOSE BLVD",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "32223",
"telephone_number": "904-880-5522",
"fax_number": "904-880-5533"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALEXANDER",
"first_name": "KAREN",
"middle_name": "GABRIELA",
"credential": "RND, LD/N",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-17",
"last_updated": "2020-01-17",
"certification_date": "2020-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "FL",
"license": "ND9486",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kareng@ackermancancer.com",
"affiliation": "N",
"endpointDescription": "email server address",
"address_1": "Ackerman Cancer Center",
"address_2": "10881 San Jose Blvd",
"city": "Jacksonville",
"state": "FL",
"country_code": "US",
"postal_code": "32223",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.