Alexandra Jean Northup, LMT, RYT

Primary specialty

Health EducatorTaxonomy code 174H00000X

Practice address

4940 NE 16TH Ave
Portland, OR 97211-5042

Phone

(503) 806-5130

NPI assigned

Jan 14, 2010

Last updated

Jan 14, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1263427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263427200000",
    "number": "1790016723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3117 NE DEKUM ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972116637",
            "telephone_number": "503-806-5130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4940 NE 16TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972115042",
            "telephone_number": "503-806-5130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORTHUP",
        "first_name": "ALEXANDRA",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "LMT, RYT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-14",
        "last_updated": "2010-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Educator in Portland, OR
• Providers in Portland, OR by specialty
• Health Educator in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2010; 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.