Individual provider Active NPI

Alexa Brooke Pluta, RVT

  • Diagnostic Ultrasound Physician
  • Lansing, MI
National Provider Identifier
1841951936
Registry record updated Jan 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Ultrasound PhysicianTaxonomy code 2085U0001X
License
206691 Issued in MI
Practice address
1140 E Michigan Ave
Lansing, MI 48912-1805
Phone
(517) 364-9650
NPI assigned
Jan 1, 2022
Last updated
Jan 1, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Ultrasound Physician 2085U0001X 206691 MI Primary

Addresses

Primary practice location

1140 E Michigan Ave
Lansing, MI 48912-1805

Mailing address

4638 S Jackson Rd
Jackson, MI 49201-8303
Phone (517) 745-6458

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
206691MIMDDiagnostic Ultrasound Physician

NPI Registry JSON

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

{
    "created_epoch": "1640995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640995200000",
    "number": "1841951936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4638 S JACKSON RD",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492018303",
            "telephone_number": "517-745-6458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 E MICHIGAN AVE",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489121805",
            "telephone_number": "517-364-9650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLUTA",
        "first_name": "ALEXA",
        "middle_name": "BROOKE",
        "credential": "RVT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-01",
        "last_updated": "2022-01-01",
        "certification_date": "2022-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "MI",
            "license": "206691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 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.