Alexandra Caudillo, FNP-BC
Individual provider Active NPI Family Nurse Practitioner · Carmichael, CA
NPI 1689494205 · NPPES record last updated Apr 30, 2025
Key facts
- NPI
- 1689494205
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 95032286 (CA)
- Practice address
- 5821 Jameson CT
Carmichael, CA 95608-0820 - Phone
- (916) 486-0411
- NPI assigned
- Oct 17, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
5821 Jameson CT
Suite 1
Carmichael, CA 95608-0820
5821 Jameson CT
Suite 1
Carmichael, CA 95608-0899
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95032286 | CA | MD | Family Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95032286 | CA | Yes |
Addresses
Primary practice location
5821 Jameson CT
Carmichael, CA 95608-0820
Mailing address
5821 Jameson CT
Carmichael, CA 95608-0820
Other providers in Carmichael, CA
- Allison Carr
- Lacy Carter
- Marcia V. Casas
- Cornelia Cata
- Joan Cathcart
- Tara Cederlind
- Ana Ceja
- Djoanna Castillo Cendana
- Cep America - California
- Cep America - Psychiatry PC
All providers in Carmichael, CA · Family Nurse Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 30, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.