Individual provider Active NPI

Alexandria Lightning, A.P.R.N.

  • Primary Care Nurse Practitioner
  • Henderson, NV
National Provider Identifier
1780072868
Registry record updated Aug 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
831710 Issued in NV
Practice address
2900 N Green Valley Pkwy Ste 114
Henderson, NV 89014-0408
Phone
(702) 550-2151
Fax
(702) 977-9033
NPI assigned
Dec 24, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 28203283A IN
Family Nurse Practitioner 363LF0000X 28203283A IN
Primary Care Nurse Practitioner 363LP2300X 831710 NV Primary
Family Nurse Practitioner 363LF0000X 95008353 CA

Addresses

Primary practice location

2900 N Green Valley Pkwy Ste 114
Henderson, NV 89014-0408

Mailing address

2900 N Green Valley Pkwy Ste 114
Henderson, NV 89014-0408
Phone (702) 550-2151

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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.
Opted out of Medicare
Yes, effective Oct 1, 2026 through Oct 1, 2028

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211227001142 CA Practitioner - Nurse Practitioner 6709205149

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
28203283AINMDRegistered Nurse
831710NVMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lightning Vip PLLC Family Current Accepting new patients
Marcus Zachary, D.O., P.C. CurrentSince Dec 1, 2021 Accepting new patients

Locations

7111 N Fresno St
Ste 200
Fresno, CA 93720
Phone (415) 353-6817

2900 N Green Valley Pkwy
Ste 114
Henderson, NV 89014
Phone (702) 550-2151

Interoperability endpoints

  • Direct secure messaging: alexandria.lightning@337577483108356.direct.elationemr.com
  • Direct secure messaging: alexandria@lightningmedical.kareodirect.com

Organizations & group practices 2

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": "1419379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628208000000",
    "number": "1780072868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 N GREEN VALLEY PKWY STE 114",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890140408",
            "telephone_number": "702-550-2151",
            "fax_number": "702-977-9033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 N GREEN VALLEY PKWY STE 114",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890140408",
            "telephone_number": "702-550-2151",
            "fax_number": "702-977-9033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIGHTNING",
        "first_name": "ALEXANDRIA",
        "credential": "A.P.R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-24",
        "last_updated": "2021-08-06",
        "certification_date": "2021-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28203283A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "28203283A",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NV",
            "license": "831710",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95008353",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.