NPIMap

Individual provider Active NPI

Alexa Rhea, PA-C

  • Medical Physician Assistant
  • Lewiston, ID
National Provider Identifier
1992174072
Registry record updated Aug 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
CS50718 Issued in ID
Practice address
2841 Juniper Dr Ste 2
Lewiston, ID 83501-4719
Phone
(208) 848-9001
Fax
(208) 848-9002
NPI assigned
Sep 18, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X CS50718 ID Primary

Addresses

Primary practice location

2841 Juniper Dr Ste 2
Lewiston, ID 83501-4719

Mailing address

PO Box 341
Lewiston, ID 83501-0341
Phone (208) 743-8416

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address alexa.whitehead@tsmh.medicity.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, ID2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170113000034 WA Practitioner - Physician Assistant 9830406818 Reassigns benefits to 1 organization
I20181109002280 ID Practitioner - Physician Assistant 9830406818 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vannvei LLCGroup PAC ID 1254743420, 19 clinicians

Practice addresses (Care Compare)

1522 17TH St
Lewiston, ID 83501-3652
Phone (208) 743-8416

2841 Juniper Dr
Suite 2
Lewiston, ID 83501-4719
Phone (208) 848-9001

Hospital & facility affiliations

  • Elite Home Health Home health agency, Lewiston, ID, CCN 137303
  • Elite Home Health Home health agency, Clarkston, WA, CCN 507111
  • Tri-State Memorial Hospital Hospital, Clarkston, WA, CCN 501332
  • St Joseph Regional Medical Center Hospital, Lewiston, ID, CCN 130003
  • Pullman Regional Hospital Hospital, Pullman, WA, CCN 501331

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
CS50718IDMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-State Memorial Hospital CurrentSince Jan 1, 2017 Accepting new patients
Tri-State Memorial Hospital CurrentSince Sep 1, 2018 Accepting new patients
Vannvei LLC CurrentSince Jul 14, 2021 Accepting new patients
Tri-State Memorial Hospital CurrentSince Jan 1, 2017 Accepting new patients
Tri State Health Services Past Accepting new patients

Locations

1522 17th St
Lewiston, ID 83501
Phone (208) 743-8416

2841 Juniper Dr
#2
Lewiston, ID 83501
Phone (208) 848-9001

1221 Highland Ave
Clarkston, WA 99403
Phone (509) 751-0312

Organizations & group practices 6

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1442534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1992174072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 341",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835010341",
            "telephone_number": "208-743-8416",
            "fax_number": "208-743-4642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2841 JUNIPER DR STE 2",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835014719",
            "telephone_number": "208-848-9001",
            "fax_number": "208-848-9002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RHEA",
        "first_name": "ALEXA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-18",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "ID",
            "license": "CS50718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "alexa.whitehead@tsmh.medicity.net",
            "affiliation": "N",
            "address_1": "2841 Juniper Dr Ste 2",
            "city": "Lewiston",
            "state": "ID",
            "country_code": "US",
            "postal_code": "835014719",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lewiston, ID

Sources for this page

Verify at the official NPI Registry.