Kelli Alexander, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

4703101013 Issued in MI

Practice address

508 Shattuck Rd
Saginaw, MI 48604-2329

Phone

(989) 752-7867

Fax

(989) 752-6830

NPI assigned

Jan 3, 2014

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Victory Clinical Services IV, LLC

  • Methadone Clinic
  • Saginaw, MI
  • NPI 1922249440
  NPD (past)

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

{
    "created_epoch": "1388707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388707200000",
    "number": "1679994008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 SHATTUCK RD",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486042329",
            "telephone_number": "989-752-7867",
            "fax_number": "989-752-6830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 SHATTUCK RD",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486042329",
            "telephone_number": "989-752-7867",
            "fax_number": "989-752-6830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEXANDER",
        "first_name": "KELLI",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-03",
        "last_updated": "2014-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MI",
            "license": "4703101013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abdul Aleem, M.D
• Destiny Leigh Aleman
• Courtney Alexander
• Crystal Alexander, AGPCNP-BC, RN
• Florence Alexander, LLMSW
• Kristen A Alexander, M.A., CCC-SLP
• Rochellda Alexander, LMSW
• Ramadan Algamal
• Mariam Alghaiti, PHARMD
• Adel N Alghamdi, M.D.

• Licensed Practical Nurse in Saginaw, MI
• Providers in Saginaw, MI by specialty
• Licensed Practical Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2014; 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.