Active NPI
Alexis Rose Sell, MSN, RN, NP-C
- Adult Health Nurse Practitioner
- Montclair, NJ
National Provider Identifier
1679925895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 26NJ00628400
- Practice address
- Montclair State University Health Center
1 Normal Avenue
Montclair, NJ 07043-1624 - Phone
- (973) 655-4361
- NPI assigned
- Jul 12, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 307715 | NY | |
| Adult Health Nurse Practitioner | 363LA2200X | 26NJ00628400 | NJ | Primary |
Addresses
Primary practice location
Montclair State University Health Center
1 Normal Avenue
Montclair, NJ 07043-1624
Mailing address
Montclair State University Health Center
1 Normal Avenue
Montclair, NJ 07043-1624
Phone (973) 655-4361
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)
- Enrolled
- Credentials
- Master of Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ00628400 | NJ | MD | Adult Health Nurse Practitioner |
| 307715 | NY | MD | Adult Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1520467200000",
"number": "1679925895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "MONTCLAIR STATE UNIVERSITY HEALTH CENTER",
"address_2": "1 NORMAL AVENUE",
"city": "MONTCLAIR",
"state": "NJ",
"postal_code": "070431624",
"telephone_number": "973-655-4361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MONTCLAIR STATE UNIVERSITY HEALTH CENTER",
"address_2": "1 NORMAL AVENUE",
"city": "MONTCLAIR",
"state": "NJ",
"postal_code": "070431624",
"telephone_number": "973-655-4361"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SELL",
"first_name": "ALEXIS",
"middle_name": "ROSE",
"credential": "MSN, RN, NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-12",
"last_updated": "2018-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "307715",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NJ",
"license": "26NJ00628400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Montclair, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.