Carol L Alexander, NP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

209005958 Issued in IL

Practice address

7531 S Stony Island Ave
Chicago, IL 60649-3954

Phone

(773) 947-7500

Fax

(773) 947-7792

NPI assigned

Jul 11, 2006

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.

• K.a.M Alliance, Inc.

  • Community/Behavioral Health Agency
  • Chicago, IL
  • NPI 1003046152

  IL

  Medicare reassignment NPD
• Cottage Emergency Physicians LLC

  • Emergency Medicine Physician
  • Chicago, IL
  • NPI 1790723724
  NPD (past)
• Northwest Indiana Heart Center, P.C.

  • Vascular Surgery Physician
  • Merrillville, IN
  • NPI 1922018324
  NPD (past)

Medicare fee-for-service enrollment

Enrolled in IL

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 7, 2018.

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544140800000",
    "number": "1689609554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4988 MEADOW LAKE DR",
            "city": "RICHTON PARK",
            "state": "IL",
            "postal_code": "604711184",
            "telephone_number": "708-747-5948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7531 S STONY ISLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606493954",
            "telephone_number": "773-947-7500",
            "fax_number": "773-947-7792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEXANDER",
        "first_name": "CAROL",
        "middle_name": "L",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2018-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209005958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zaquita Alexander-Tolbert
• Amy Louise Alexander, M.D.
• Andrew Jacob Alexander, M.D.
• Angela Alexander
• Brandy Katherine Alexander, BCBA
• Constance V Alexander
• Cristina Alexander
• David Alexander
• Deja Nicole Alexander, PSYD
• Denise Diane Alexander

• All providers in Chicago, IL
• Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2018; 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.