ALEXA VICTORIA NICKEL APRN NPI 1811488976

NPI Information

NPI: 1811488976
Provider Name: ALEXA VICTORIA NICKEL, APRN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: MOUNTAINSTAR SPECIALTY SERVICES LLC

PECOS Registration: Yes

Address:
1160 E 3900 S STE 5000
SALT LAKE CITY, UT
ZIP 84124
Phone: (801) 261-7479
Get Directions

Alexa Victoria Nickel, APRN is a family nurse practitioner in Salt Lake City, UT with 6 years of experience. Alexa Victoria Nickel, APRN NPI is 1811488976. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1160 E 3900 S STE 5000
SALT LAKE CITY, UT
ZIP 84124-275
Phone: (801) 261-7479
Fax: (801) 261-7429

The NPI 1811488976 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/24/2018 and was last updated on 1/27/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		9127639-3102	UTAH	No
2	363LF0000X	Nurse Practitioner	Family	9127639-4405	UTAH	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »