Shanise Marie Alexander
Occupational Therapist, Mental Health in Las Vegas, NV. Individual provider (NPI-1).
NPI number1366082471
StatusActive
Last updated in NPPESJan 7, 2020
Details
- NPI
- 1366082471
- Entity type
- Individual (NPI-1)
- Name
- Shanise Marie Alexander
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 7, 2020
- Certification date
- Jan 7, 2020
- Last updated
- Jan 7, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225XM0800X | Occupational Therapist, Mental Health | – | – | Yes |
Practice location
510 S 10th St Apt ALas Vegas, NV 89101-7044
Phone 702-462-6630 · Fax 702-462-6634
Mailing address
510 S 10th St Apt ALas Vegas, NV 89101-7044
Phone 702-462-6630
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 9 Mental Health Occupational Therapist providers in Las Vegas · All 80,918 providers in Las Vegas
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