Individual provider Active NPI

Stefani Alexander, APN

  • Women's Health Nurse Practitioner
  • East Chicago, IN
National Provider Identifier
1780936344
Registry record updated Jan 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
710008458 Issued in IN
Practice address
1313 W Chicago Ave
East Chicago, IN 46312-3316
Phone
(219) 398-9685
Fax
(219) 398-9695
NPI assigned
Oct 8, 2012
Last updated
Jan 15, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2019

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 041.369779 IL
Registered Nurse 163W00000X 28247136A IN
Nurse Practitioner 363L00000X 710008458A IN
Women's Health Nurse Practitioner 363LW0102X 209.009790 IL
Women's Health Nurse Practitioner 363LW0102X 710008458 IN Primary

Addresses

Primary practice location

1313 W Chicago Ave
East Chicago, IN 46312-3316

Mailing address

1313 W Chicago Ave
East Chicago, IN 46312-3316
Phone (219) 398-9685

Other practice location 1

1763 Freedom Dr
Naperville, IL 60563-3548
Phone (630) 687-9595

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

State licenses

LicenseStateTypeSpecialty
041.369779ILMDRegistered Nurse
28247136AINMDRegistered Nurse
710008458AINMDNurse Practitioner
209.009790ILMDWomen's Health Nurse Practitioner
710008458INMDWomen's Health Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: stefani.alexander@il020.digichart.direct-ci.com

NPI Registry JSON

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

{
    "created_epoch": "1349654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547510400000",
    "number": "1780936344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1313 W CHICAGO AVE",
            "city": "EAST CHICAGO",
            "state": "IN",
            "postal_code": "463123316",
            "telephone_number": "219-398-9685",
            "fax_number": "219-398-9695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 W CHICAGO AVE",
            "city": "EAST CHICAGO",
            "state": "IN",
            "postal_code": "463123316",
            "telephone_number": "219-398-9685",
            "fax_number": "219-398-9695"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1763 Freedom Dr",
            "address_purpose": "LOCATION",
            "city": "Naperville",
            "state": "IL",
            "postal_code": "605633548",
            "country_code": "US",
            "telephone_number": "630-687-9595",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALEXANDER",
        "first_name": "STEFANI",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-08",
        "last_updated": "2019-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041.369779",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28247136A",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "710008458A",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "IL",
            "license": "209.009790",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "IN",
            "license": "710008458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Chicago, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2019; 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.