Individual provider Active NPI

Alexandra B Villard, APRN

  • Adult Health Nurse Practitioner
  • Stamford, CT
National Provider Identifier
1790834984
Registry record updated Jul 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
002879 Issued in CT
Practice address
22 Windermere LN
Stamford, CT 06902-1010
Phone
(203) 570-8406
NPI assigned
Jan 9, 2007
Last updated
Jul 14, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 002879 CT Primary
Registered Nurse 163W00000X E59116 CT

Addresses

Primary practice location

22 Windermere LN
Stamford, CT 06902-1010

Mailing address

22 Windermere LN
Stamford, CT 06902-1010
Phone (203) 570-8406

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231018003983 CT Order and Referring Only - Nurse Practitioner 1557716032

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E59116CTMDRegistered Nurse

Interoperability endpoints

  • Direct secure messaging: ms_avill40@landmarkhealth-direct.org

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626220800000",
    "number": "1790834984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 WINDERMERE LN",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069021010",
            "telephone_number": "203-570-8406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 WINDERMERE LN",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069021010",
            "telephone_number": "203-570-8406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLARD",
        "first_name": "ALEXANDRA",
        "middle_name": "B",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CT",
            "license": "002879",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CT",
            "license": "E59116",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

Verify at the official NPI Registry.