Alexandria Mary Kolody, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

201509376LPN Issued in OR

Practice address

2035 Davcor St SE
Salem, OR 97302-1595

Phone

(503) 585-4937

NPI assigned

Oct 13, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Alex Kolody Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1476316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476316800000",
    "number": "1811447808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4255 MACLEAY RD SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973175806",
            "telephone_number": "785-418-7098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2035 DAVCOR ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973021595",
            "telephone_number": "503-585-4937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLODY",
        "first_name": "ALEXANDRIA",
        "middle_name": "MARY",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-13",
        "last_updated": "2016-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OR",
            "license": "201509376LPN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEX",
            "last_name": "KOLODY",
            "credential": "LPN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Erik Kokkonen, M.D.
• Callie Kolb, MS CCC-SLP
• Vincent J Koletar, MD
• Theresa Ann Kollars, LPC
• Derek Koller, M.D.
• Laslo Emory Kolta, M.D.
• Lawrence Konick, MD
• Lisa Ann Callery Koontz, RN, LMT
• Madelyn Jo Koontz, RD, LD
• Tara Jade Koretsky, PHARM.D.

• Licensed Practical Nurse in Salem, OR
• Providers in Salem, OR by specialty
• Licensed Practical Nurse in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2016; 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.