Active NPI
Alexandria Lightning, A.P.R.N.
- Primary Care Nurse Practitioner
- Henderson, NV
National Provider Identifier
1780072868
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 831710
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- Opted out of Medicare
- Yes, effective Oct 1, 2026 through Oct 1, 2028
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211227001142 | CA | Practitioner - Nurse Practitioner | 6709205149 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28203283A | IN | MD | Registered Nurse |
| 831710 | NV | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lightning Vip PLLC | Family | Current | Accepting new patients |
| Marcus Zachary, D.O., P.C. | Current | 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
- alexandria.lightning@337577483108356.direct.elationemr.com
- 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.
-
- Family Nurse Practitioner
- Henderson, NV
- NPI 1215635305
-
- Family Medicine Physician
- Fresno, CA
- NPI 1710592621
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2021; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.