ALEX SOUTHWELL (NPI# 1073053310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073053310 |
| Entity Type | Individual |
| Full Name | ALEX SOUTHWELL |
| Other Name | AMANDA SOUTHWELL |
| Practice Address |
3191b Main St Mexico NY 13114-3395 |
| Practice Telephone | 6078957983 |
| Mailing Telephone | 6078957983 |
| Enumeration Date | 2017-03-06 |
| Last Update Date | 2017-03-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 325795 | NY | Nursing Service Providers |
| Street Address |
3191B MAIN ST |
| City | MEXICO |
| State | NY |
| Zip Code | 13114-3395 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750740148 | Jessica Reich | Licensed Practical Nurse | 3255 Main St, #1, Mexico, NY 13114 | 2016-02-15 |
| 1356769657 | Timothy Ross | Speech-Language Pathologist | 16 Fravor Road, Mexico Academy & Central School, Mexico, NY 13114 | 2014-04-03 |
| 1275819955 | Mexico High School | Local Education Agency (LEA) | 3338 Main Street, Mexico, NY 13114 | 2011-10-26 |
| 1841575503 | Nancy Lynn Carr | Speech-Language Pathologist | County Route 64, Oswego County Boces, Mexico, NY 13114 | 2011-10-13 |
| 1710209895 | Melvyn Leonard Shindler | Pharmacist | 3318 Main St., Mexico, NY 13114 | 2010-02-17 |
| 1770818700 | Rebecca Ella Vrooman | Registered Nurse | 503 County Route 41, Mexico, NY 13114 | 2009-10-08 |
| 1437333879 | Oswego County Mental Health | Case Management | 1 Spring Street, Mexico, NY 13114 | 2007-12-20 |
| 1619158821 | Paul Albert Smith Jr. | Licensed Practical Nurse | 6 Mexico Point Drive, Mexico, NY 13114 | 2007-11-15 |
| 1992847917 | Pamela J Allen | Specialist | 216 Co Rt 64, Mexico, NY 13114 | 2007-02-13 |
| 1932275898 | Brandi S. Coleman | Optometrist | 3277 Main St., Mexico, NY 13114 | 2006-11-24 |
| Find all providers in zip 13114 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750740148 | Jessica Reich | Licensed Practical Nurse | 3255 Main St, #1, Mexico, NY 13114 | 2016-02-15 |
| 1568806909 | Leronica Jam'es Cooper | Licensed Practical Nurse | 1718 Country Place Ct, Mexico, MO 65265-3665 | 2013-04-27 |
| 1780928960 | Nancy Jan Bayer | Licensed Practical Nurse | 312 E Jackson St, Mexico, MO 65265-2823 | 2012-11-12 |
| 1861759128 | Amy Katherine Himes | Licensed Practical Nurse | 429 Dry Bridge Rd, Mexico, NY 13114-3332 | 2012-04-11 |
| 1255634390 | Crystal R Thompson | Licensed Practical Nurse | 286 Green Rd, Mexico, NY 13114-4215 | 2010-12-12 |
| 1942518303 | Julie Bond | Licensed Practical Nurse | 234 Albright Rd, Mexico, NY 13114-3295 | 2010-09-20 |
| 1982857389 | Carrie Michelle Baird | Licensed Practical Nurse | 133 Mason Rd, Mexico, NY 13114-3117 | 2008-10-29 |
| 1720263957 | Joanne Lynn Parkhurst | Licensed Practical Nurse | 50 Green Rd, Mexico, NY 13114-4269 | 2008-01-07 |
| 1619158821 | Paul Albert Smith Jr. | Licensed Practical Nurse | 6 Mexico Point Drive, Mexico, NY 13114 | 2007-11-15 |
| 1346464302 | Nancy Carol Barber | Licensed Practical Nurse | 220 W Stone Rd, Mexico, NY 13114-3231 | 2007-04-12 |
| Find all providers in MEXICO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.