Active NPI
Alexandra Fasula Lambert, ARNP
- Pediatric Nurse Practitioner
- Bradenton, FL
National Provider Identifier
1962822841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 9405347
- Practice address
- 5255 Office Park Blvd Ste 110
Bradenton
Bradenton, FL 34203-3443 - Phone
- (941) 755-7000
- Fax
- (941) 755-7088
- NPI assigned
- Apr 18, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 9405347 | FL | Primary |
Addresses
Primary practice location
5255 Office Park Blvd Ste 110
Bradenton
Bradenton, FL 34203-3443
Mailing address
5255 Office Park Blvd Ste 110
Bradenton
Bradenton, FL 34203-3443
Phone (941) 755-7000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962822841 | Other | NPI | |
| ARNP9405347 | Other | FL | NURSE PRACTITIONER LICENSE |
Other names 1
- Alexandra Fasula
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9405347 | FL | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Federico a. Frias MD PA | Past | Accepting new patients | |
| Federico a. Frias MD PA | Past | Accepting new patients |
Interoperability endpoints
- alexandra.lambert.1@21958.direct.athenahealth.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatrics Physician
- Bradenton, FL
- NPI 1841965407
-
- Pediatrics Physician
- Bradenton, FL
- NPI 1851317218
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1460678400000",
"number": "1962822841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5255 OFFICE PARK BLVD STE 110",
"address_2": "BRADENTON",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342033443",
"telephone_number": "941-755-7000",
"fax_number": "941-755-7088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5255 OFFICE PARK BLVD STE 110",
"address_2": "BRADENTON",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342033443",
"telephone_number": "941-755-7000",
"fax_number": "941-755-7088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAMBERT",
"first_name": "ALEXANDRA",
"middle_name": "FASULA",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-18",
"last_updated": "2016-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "FL",
"license": "9405347",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1962822841",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NURSE PRACTITIONER LICENSE",
"identifier": "ARNP9405347",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ALEXANDRA",
"last_name": "FASULA",
"credential": "ARNP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Bradenton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.