Individual provider Active NPI

Alexandra C Cantor, CRNP

  • Family Nurse Practitioner
  • York, PA
National Provider Identifier
1780003533
Registry record updated Jun 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP013754 Issued in PA
Practice address
302 Saint Charles Way
York, PA 17402
Phone
(717) 812-2390
Fax
(717) 812-2388
NPI assigned
Apr 9, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP013754 PA Primary

Addresses

Primary practice location

302 Saint Charles Way
York, PA 17402

Mailing address

950 Woodland St
Mechanicsburg, PA 17055-4373
Phone (717) 988-8020

Other practice location 1

2005 Technology Pkwy
Suite 440
Mechanicsburg, PA 17050-9413
Phone (717) 791-2540

Other practice location 2

950 Woodland St
Mechanicsburg, PA 17055
Phone (717) 988-8020

Other identifiers 1

IdentifierTypeStateIssuer
102926830MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address acantor52749@phsdirect.pinnaclehealth.org

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
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspan Medical Group CurrentSince Jun 1, 2018 Accepting new patients
Pinnacle Health Medical Services CurrentSince Mar 15, 2021 Accepting new patients
Wellspan Medical Group Current Accepting new patients
Pinnacle Health Medical Services Current Accepting new patients

Locations

409 S 2nd St
Ste 2F
Harrisburg, PA 17104
Phone (717) 231-8049

810 Sir Thomas Ct
#101
Harrisburg, PA 17109
Phone (717) 614-4420

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

2151 Linglestown Rd
Ste 100
Harrisburg, PA 17110
Phone (717) 545-4786

2005 Technology Pkwy
Ste 440
Mechanicsburg, PA 17050
Phone (717) 614-4420

950 Woodland St
Mechanicsburg, PA 17055
Phone (717) 766-0500

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

3421 Concord Rd
York, PA 17402
Phone (717) 851-2441

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1397001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623024000000",
    "number": "1780003533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 WOODLAND ST",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170554373",
            "telephone_number": "717-988-8020",
            "fax_number": "717-221-5567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 SAINT CHARLES WAY",
            "city": "YORK",
            "state": "PA",
            "postal_code": "17402",
            "telephone_number": "717-812-2390",
            "fax_number": "717-812-2388"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2005 Technology Pkwy",
            "address_2": "Suite 440",
            "address_purpose": "LOCATION",
            "city": "Mechanicsburg",
            "state": "PA",
            "postal_code": "170509413",
            "country_code": "US",
            "telephone_number": "717-791-2540",
            "fax_number": "717-791-2549",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "950 Woodland St",
            "address_purpose": "LOCATION",
            "city": "Mechanicsburg",
            "state": "PA",
            "postal_code": "17055",
            "country_code": "US",
            "telephone_number": "717-988-8020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CANTOR",
        "first_name": "ALEXANDRA",
        "middle_name": "C",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-09",
        "last_updated": "2021-06-07",
        "certification_date": "2021-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP013754",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102926830",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "acantor52749@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "address_1": "950 Woodland St",
            "city": "Mechanicsburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "17055",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in York, PA

Sources for this page

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

Verify at the official NPI Registry.