Amanda Lucia Alexis
Registered Nurse in Staten Island, NY. Individual provider (NPI-1).
NPI number1962037358
StatusActive
Last updated in NPPESMar 6, 2020
Details
- NPI
- 1962037358
- Entity type
- Individual (NPI-1)
- Name
- Amanda Lucia Alexis
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 6, 2020
- Certification date
- Mar 6, 2020
- Last updated
- Mar 6, 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 |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 778571 | NY | Yes |
Practice location
50 Trina LnStaten Island, NY 10309-1532
Phone 718-594-5019
Mailing address
50 Trina LnStaten Island, NY 10309-1532
Phone 718-594-5019
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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