Individual provider Active NPI

Alexis Bridges Glover, FNP-BC

  • Family Nurse Practitioner
  • Washington, DC
National Provider Identifier
1992398051
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN1028339 Issued in DC
Practice address
6 Dupont Cir NW
Washington, DC 20036-1108
Phone
(202) 785-1466
NPI assigned
Feb 18, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024181281 VA
Family Nurse Practitioner 363LF0000X AC003623 MD
Family Nurse Practitioner 363LF0000X RN1028339 DC Primary

Addresses

Primary practice location

6 Dupont Cir NW
Washington, DC 20036-1108

Mailing address

900 7TH St SW Apt 309
Washington, DC 20024-2824
Phone (404) 401-1010

Other practice location 1

1201 S Hayes St
Arlington, VA 22202-2700
Phone (703) 418-3790

Other practice location 2

3110 Olney Sandy Spring Rd
Olney, MD 20832-1408
Phone (301) 774-6155

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA, MD3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20211110001862 DC Practitioner - Nurse Practitioner 0941699250 Reassigns benefits to 3 organizations
I20211214002380 VA Practitioner - Nurse Practitioner 0941699250 Reassigns benefits to 2 organizations
I20220415000490 MD Practitioner - Nurse Practitioner 0941699250 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AC003623MDMDFamily Nurse Practitioner
0024181281VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic LLC Nurse Practitioner CurrentSince Aug 10, 2023 Accepting new patients
Consonant Healing Medical Associates Nurse Practitioner CurrentSince Apr 4, 2022 Accepting new patients
Minuteclinic Diagnostic of Virginia LLC Family CurrentSince Sep 14, 2021 Accepting new patients

Locations

2601 Riva Rd
Annapolis, MD 21401
Phone (410) 571-2090

919 Seton Dr
Cumberland, MD 21502
Phone (301) 777-0622

10095 Ward Rd
Dunkirk, MD 20754
Phone (410) 257-0191

3110 Olney Sandy Spring Rd
Olney, MD 20832
Phone (301) 774-6155

7955 Tuckerman Ln
Rockville, MD 20854
Phone (301) 299-3717

8403 Colesville Rd
Ste 1100
Silver Spring, MD 20910
Phone (301) 905-7762

909 Ridgebrook Rd
Ste 300
Sparks Glencoe, MD 21152
Phone (443) 483-9300

1636 Belle View Blvd
Alexandria, VA 22307
Phone (703) 703-7687

1201 S Hayes St
Arlington, VA 22202
Phone (703) 418-3790

11271 Nuckols Rd
Glen Allen, VA 23059
Phone (804) 217-8881

19305 Ruby Dr
Leesburg, VA 20176
Phone (571) 333-5918

1452 Chain Bridge Rd
McLean, VA 22101
Phone (703) 307-8235

3900 Westerre Pkwy
Ste 300
Richmond, VA 23233
Phone (301) 928-5012

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1613606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1992398051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 7TH ST SW APT 309",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200242824",
            "telephone_number": "404-401-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 DUPONT CIR NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200361108",
            "telephone_number": "202-785-1466"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1201 S Hayes St",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "VA",
            "postal_code": "222022700",
            "country_code": "US",
            "telephone_number": "703-418-3790",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3110 Olney Sandy Spring Rd",
            "address_purpose": "LOCATION",
            "city": "Olney",
            "state": "MD",
            "postal_code": "208321408",
            "country_code": "US",
            "telephone_number": "301-774-6155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLOVER",
        "first_name": "ALEXIS",
        "middle_name": "BRIDGES",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-18",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024181281",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "AC003623",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DC",
            "license": "RN1028339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.