Active NPI
Jackie Lea Alexander, RN, APN
- Acute Care Nurse Practitioner
- Reno, NV
National Provider Identifier
1982799466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- APN00755
- Practice address
- 1500 E 2ND St
Suite 206
Reno, NV 89502-1181 - Phone
- (775) 789-7000
- Fax
- (775) 789-7040
- NPI assigned
- Oct 3, 2006
- Last updated
- Mar 7, 2023
- 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 |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | APN00755 | NV | Primary |
Addresses
Primary practice location
1500 E 2ND St
Suite 206
Reno, NV 89502-1181
Mailing address
1500 E 2ND St
Suite 206
Reno, NV 89502-1181
Phone (775) 789-7000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| APN00755 | Other | NV | APN NUMBER |
| 100502922 | Medicaid | NV | |
| APN00652 | Other | NV | PRESCRIPTIVE AUTHORITY |
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)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APN00755 | NV | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Renown Urgent Care LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1982799466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 E 2ND ST",
"address_2": "SUITE 206",
"city": "RENO",
"state": "NV",
"postal_code": "895021181",
"telephone_number": "775-789-7000",
"fax_number": "775-789-7040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 E 2ND ST",
"address_2": "SUITE 206",
"city": "RENO",
"state": "NV",
"postal_code": "895021181",
"telephone_number": "775-789-7000",
"fax_number": "775-789-7040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALEXANDER",
"first_name": "JACKIE",
"middle_name": "LEA",
"name_prefix": "Ms.",
"credential": "RN, APN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-03",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "NV",
"license": "APN00755",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "APN NUMBER",
"identifier": "APN00755",
"state": "NV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100502922",
"state": "NV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRESCRIPTIVE AUTHORITY",
"identifier": "APN00652",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.