ALEXIS WERNSMAN (NPI# 1073147237) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073147237 |
| Entity Type | Individual |
| Full Name | ALEXIS WERNSMAN |
| Credential | APN |
| Practice Address |
5023 N Illinois St Fairview Heights IL 62208-3453 |
| Mailing Address |
616 Nancy Dr Centralia IL 62801-4425 |
| Practice Telephone | 6183674906 |
| Mailing Telephone | 6183672005 |
| Enumeration Date | 2020-02-26 |
| Last Update Date | 2020-09-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209020907 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4055 Valley View Ln, Dallas, TX 752445074 | 9727153800 | |
| 616 Nancy Dr, Centralia, IL 628014425 | 6183672005 |
| Street Address |
5023 N ILLINOIS ST |
| City | FAIRVIEW HEIGHTS |
| State | IL |
| Zip Code | 62208-3453 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699792143 | Shakeel Ahmed | Internal Medicine | 5023 N Illinois St, Fairview Heights, IL 62208-3453 | 2006-07-17 |
| 1487266391 | Prairie State Anesthesia Associates, Pllc | Anesthesiology | 5023 N Illinois St, Fairview Heights, IL 62208-3453 | 2020-08-21 |
| 1114492691 | Stephanie Nicole Swanson | Nurse Practitioner | 5023 N Illinois St, Fairview Heights, IL 62208-3453 | 2018-10-10 |
| 1063838357 | Metroeast Endoscopic Surgery Center | Clinic/Center | 5023 N Illinois St, Suite 3, Fairview Heights, IL 62208-3453 | 2014-03-11 |
| 1790106151 | Center for Gastrointestinal Health | Clinical Medical Laboratory | 5023 N Illinois St, Suite 2, Fairview Heights, IL 62208-3453 | 2014-01-02 |
| 1780962506 | Diversified Medical Services LLC | Anesthesiology | 5023 N Illinois St, Ste 1, Fairview Heights, IL 62208-3453 | 2011-07-27 |
| 1356650915 | Metroeast Endoscopy Centre | Clinic/Center | 5023 N Illinois St, Fairview Heights, IL 62208-3453 | 2010-09-30 |
| 1639498033 | Maria Noel Wolf | Nurse Anesthetist, Certified Registered | 5023 N Illinois St, Fairview Heights, IL 62208-3453 | 2010-05-25 |
| 1114259199 | Jennifer Jeanne Steinhoff | Physician Assistant | 5023 N Illinois St, Fairview Heights, IL 62208-3453 | 2010-02-02 |
| 1477753176 | Center for Gastrointestinal Health, Sc | Anesthesiology | 5023 N Illinois St, Fairview Heights, IL 62208-3453 | 2007-07-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740829647 | Stephanie Lynn Arzavala-reed | Counselor | 8.5 Canty Lane, Fairview Heights, IL 62208 | 2019-12-26 |
| 1649822156 | Preferred Behavioral Health | Community/Behavioral Health | 141 Market Place Drive, Suite 100, Fairview Heights, IL 62208 | 2019-07-15 |
| 1164929055 | Itic Support Services Inc | Psychiatry & Neurology | 141 Market Pl Ste 100, Fairview Heights, IL 62208 | 2018-04-09 |
| 1023525102 | Karen E. Reinacher | Speech-Language Pathologist | 21 Circle Dr., Fairview Heights, IL 62208 | 2018-01-10 |
| 1316465297 | Rachel Moser | Behavioral Analyst | 9510 St. Clair Ave, Fairview Heights, IL 62208 | 2017-08-31 |
| 1952826471 | Tomika Eiland | Social Worker | 413 David Dr, Fairview Heights, IL 62208 | 2017-08-05 |
| 1194113852 | Rachel Logan | Social Worker | 10850 Lincoln Trail, Suite 16 #3, Fairview Heights, IL 62208 | 2015-01-05 |
| 1255746715 | Center for Advanced Medicine LLC | Internal Medicine | 5036 N Illinois St, Suite 1, Fairview Heights, IL 62208 | 2014-06-24 |
| 1033463393 | Katherine Johnson I | Physical Therapy Assistant | 320 N Ruby Ln, Fairview Heights, IL 62208 | 2012-11-07 |
| 1508118779 | Nicole Kovacic | Physical Therapy Assistant | 5501 Perrin Drive, Fairview Heights, IL 62208 | 2012-10-11 |
| Find all providers in zip 62208 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699274001 | Cayla Denise Wester | Nurse Practitioner | 4 E Beacon Hill Rd, Fairview Heights, IL 62208-1711 | 2018-02-12 |
| 1912414434 | Moshood A Yinusa | Nurse Practitioner | 33 Northbrook Cir Apt 24, Fairview Heights, IL 62208-2693 | 2018-01-05 |
| 1891211553 | Matrecha Ann Yates | Nurse Practitioner | 8 Executive Dr Ste 150, Fairview Heights, IL 62208-1349 | 2017-08-15 |
| 1407380900 | Ali Albers | Nurse Practitioner | 5036 N Illinois St, Fairview Heights, IL 62208-3417 | 2017-04-12 |
| 1578850905 | Kimberley Denise Criss | Nurse Practitioner | 5031 N Illinois St, Fairview Heights, IL 62208-3453 | 2011-07-06 |
| 1780834747 | Erica P Criss | Nurse Practitioner | 5 Lugwig Drive, Fairview Heights, IL 62208 | 2008-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538760277 | Jennifer Michelle Kennedy | Nurse Practitioner | 3006 Lakeview Dr, Metropolis, IL 62960-3119 | 2020-11-07 |
| 1881295541 | Britney Julia Durst | Nurse Practitioner | 5905 N Prospect Rd, Peoria, IL 61614-4311 | 2020-11-07 |
| 1952902884 | Julia Ann Gottschalk | Nurse Practitioner | 1979 Mcdowell Rd, Unit 103, Naperville, IL 60563 | 2020-11-06 |
| 1932700911 | Laura Ivette Portillo | Nurse Practitioner | 2727 N Marmora Ave, Chicago, IL 60639-1219 | 2020-11-05 |
| 1265033385 | Carolle M Derradji | Nurse Practitioner | 3256 W Potomac Ave, Chicago, IL 60651-2411 | 2020-11-04 |
| 1104427293 | Katie Michelle O'halloran | Nurse Practitioner | 5841 S Maryland Ave # E500, Chicago, IL 60637-1443 | 2020-11-04 |
| 1598365140 | Caitlyn Windsor | Nurse Practitioner | 24525 Grange Rd, Geneseo, IL 61254-8429 | 2020-10-31 |
| 1578163515 | Deanna Bassette | Nurse Practitioner | 243 E 31st St Apt 401, Chicago, IL 60616-5212 | 2020-10-29 |
| 1891395745 | Vrunda Shah Patel | Nurse Practitioner | 933 W Van Buren St Apt 502, Chicago, IL 60607-3583 | 2020-10-29 |
| 1346840337 | Catherine Suh | Nurse Practitioner | 1380 Marcy Ln, Wheeling, IL 60090-4422 | 2020-10-28 |
| Find all providers with the same taxonomy | ||||
| City | FAIRVIEW HEIGHTS |
| Zip Code | 62208 |
Please comment or provide details below to improve the information on ALEXIS WERNSMAN.
| 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.