Active NPI
Alexandra Irvine, MS, OTRL
- Occupational Therapist
- Kalamazoo, MI
National Provider Identifier
1700375748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5237
- Practice address
- 601 John St Ste M-206C
Kalamazoo, MI 49007-5359 - Phone
- (269) 349-8601
- NPI assigned
- May 4, 2018
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 5237 | SC | Primary |
Addresses
Primary practice location
601 John St Ste M-206C
Kalamazoo, MI 49007-5359
Mailing address
9192 El Dorado Ave
Kalamazoo, MI 49009-6715
Other practice location 1
1951 Clements Ferry Rd Ste B
Charleston, SC 29492-8322
Phone (843) 990-5262
Other names 1
- Alexandra McMullen
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | direct@direct.bronsonhg.org | Direct | Bronson Healthcare Group |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5237 | SC | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624492800000",
"number": "1700375748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9192 EL DORADO AVE",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490096715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 JOHN ST STE M-206C",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490075359",
"telephone_number": "269-349-8601"
}
],
"practiceLocations": [
{
"address_1": "1951 Clements Ferry Rd Ste B",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "SC",
"postal_code": "294928322",
"country_code": "US",
"telephone_number": "843-990-5262",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "IRVINE",
"first_name": "ALEXANDRA",
"credential": "MS, OTRL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-04",
"last_updated": "2021-06-24",
"certification_date": "2021-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "SC",
"license": "5237",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "direct@direct.bronsonhg.org",
"affiliation": "Y",
"endpointDescription": "Bronson Healthcare Group Direct Address",
"affiliationName": "Bronson Healthcare Group",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "continuity of care document",
"address_1": "601 John St",
"city": "Kalamazoo",
"state": "MI",
"country_code": "US",
"postal_code": "490075341",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "ALEXANDRA",
"last_name": "MCMULLEN",
"credential": "MS, OTRL",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Kalamazoo, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.