Individual provider Active NPI

Alexandra Davis Molchan, APRN-BC

  • Gerontology Nurse Practitioner
  • Miami, FL
National Provider Identifier
1790205011
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
ARNP9327974 Issued in FL
Practice address
117 NW 42ND Avenue
#1412
Miami, FL 33126
Phone
(954) 224-3495
NPI assigned
Jun 27, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X ARNP9327974 FL Primary

Addresses

Primary practice location

117 NW 42ND Avenue
#1412
Miami, FL 33126

Mailing address

117 NW 42ND Ave Apt 1412
Miami, FL 33126-5438
Phone (954) 224-3495

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
ARNP9327974FLMDGerontology Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1498521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1790205011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 NW 42ND AVE APT 1412",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331265438",
            "telephone_number": "954-224-3495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 NW 42ND AVENUE",
            "address_2": "#1412",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33126",
            "telephone_number": "954-224-3495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLCHAN",
        "first_name": "ALEXANDRA",
        "middle_name": "DAVIS",
        "name_prefix": "Ms.",
        "credential": "APRN-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-27",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "ARNP9327974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.