ALEXANDRA MACK (NPI# 1821546904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821546904 |
| Entity Type | Individual |
| Full Name | ALEXANDRA MACK |
| Practice Address |
33100 Cleveland Clinic Blvd Avon OH 44011-1390 |
| Mailing Address |
1891 Winding Willow Dr Valley City OH 44280-9398 |
| Practice Telephone | 4405398042 |
| Mailing Telephone | 4405398042 |
| Enumeration Date | 2016-09-16 |
| Last Update Date | 2016-09-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
CNP.019804 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902379498 | Alexandra Mack | Social Worker | 2200 S State St Ste 200, Salt Lake City, UT 84115-2724 | 2019-01-07 |
| 1922592484 | Alexandra Mack | Speech-Language Pathologist | 10 Tinkham Gln, Wilbraham, MA 01095-2427 | 2018-06-19 |
| 1679129399 | Alexandra Lea Mack | Social Worker | 780 American Legion Hwy, Roslindale, MA 02131-3908 | 2019-08-19 |
| 1932648060 | Alexandra Mack | Behavior Technician | 11240 Waples Mill Rd, Fairfax, VA 22030-6078 | 2017-02-22 |
| 1174812192 | Alexandra Sledd Mack | Family Medicine | 825 Fairfax Ave, Ste 118, Norfolk, VA 23507-1914 | 2011-03-30 |
| Street Address |
33100 CLEVELAND CLINIC BLVD |
| City | AVON |
| State | OH |
| Zip Code | 44011-1390 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134126683 | Annie R Tan | Internal Medicine | 33100 Cleveland Clinic Blvd, Avon, OH 44011-1390 | 2005-06-30 |
| 1992323646 | Sarah Lauren Mcnulty | Internal Medicine | 33100 Cleveland Clinic Blvd, Avon, OH 44011-1390 | 2020-07-09 |
| 1952939522 | William Quinn Menard | Physical Therapist | 33100 Cleveland Clinic Blvd, Avon, OH 44011-1390 | 2020-03-30 |
| 1356979025 | Jared Berger | Physical Therapist | 33100 Cleveland Clinic Blvd, Physical Therapy Department, Avon, OH 44011 | 2020-03-30 |
| 1053949941 | Shawn Nixon | Nurse Practitioner | 33100 Cleveland Clinic Blvd, Avon, OH 44011-1390 | 2020-03-28 |
| 1174156228 | Emma Rueth | Dietitian, Registered | 33100 Cleveland Clinic Blvd, Avon, OH 44011-1390 | 2020-02-18 |
| 1619514569 | Carmen Moreno | Physician Assistant | 33100 Cleveland Clinic Blvd, Avon, OH 44011-1390 | 2019-12-10 |
| 1588225098 | Lindsey Trotter | Nurse Practitioner | 33100 Cleveland Clinic Blvd, Avon, OH 44011-1390 | 2019-06-25 |
| 1619465614 | Timothy Gill | Nurse Practitioner | 33100 Cleveland Clinic Blvd, Avon, OH 44011 | 2018-04-25 |
| 1467960575 | The Cleveland Clinic Foundation | Optometrist | 33100 Cleveland Clinic Blvd, Avon, OH 44011-1390 | 2018-01-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750845889 | Meijer Stores Limited Partnership | Durable Medical Equipment & Medical Supplies | 1810 Nagel Rd, Avon, OH 44011 | 2019-01-23 |
| 1548758782 | Stacey L Yanetta | Social Worker | Avon-richard E. Jacobs Health Center, 33100 Cleveland Clinic Blvd, Avon, OH 44011 | 2018-04-24 |
| 1073054540 | Timothy Weitzel | Social Worker | 36419 Edenhall Terrace, Avon, OH 44011 | 2017-03-16 |
| 1568829059 | Jessica Ryan Springer | Nurse Practitioner | 36130 N Park Dr, Avon, OH 44011 | 2016-01-28 |
| 1962879569 | Cleveland Clinic Rehabilitation Hospitals, LLC | Rehabilitation Hospital | 33355 Health Campus Boulevard, Avon, OH 44011 | 2015-08-31 |
| 1619373024 | Avon Healthcare Center, Inc. | Skilled Nursing Facility | 37845 Colorado Avenue, Avon, OH 44011 | 2014-11-12 |
| 1508272543 | Samantha Willi | Counselor | 37040 Colorado Ave, Avon, OH 44011 | 2014-07-10 |
| 1336572791 | Todd Bernard | Dentist | 37701 Colorado Ave Ste E, Avon, OH 44011 | 2013-08-20 |
| 1245550730 | Kenneth Charles Hohmeier | Pharmacist | 38530 Chester Road, Suite 400, Avon, OH 44011 | 2010-06-07 |
| 1760712343 | Avon Local School District | Local Education Agency (LEA) | 36600 Detroit Road, Avon, OH 44011 | 2010-01-05 |
| Find all providers in zip 44011 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164040093 | Maria Pihlblad | Nurse Practitioner | 39265 Arlington Dr, Avon, OH 44011-4781 | 2020-07-07 |
| 1861975658 | Tonya Erdle | Nurse Practitioner | 39 Fisk Pl, Avon, NY 14414-1213 | 2018-09-08 |
| 1336669886 | Rachel L Hickman | Nurse Practitioner | 850 West Beaver Creek Blvd, Avon, CO 81620-9201 | 2017-06-26 |
| 1730609447 | Amber Eades | Nurse Practitioner | 1111 Ronald Reagan Pkwy Ste B-1500, Avon, IN 46123-7085 | 2017-06-23 |
| 1467999151 | Jaime M Hopper | Nurse Practitioner | 7828 Village Green Dr, Avon, IN 46123-7228 | 2017-01-19 |
| 1568829059 | Jessica Ryan Springer | Nurse Practitioner | 36130 N Park Dr, Avon, OH 44011 | 2016-01-28 |
| 1386000479 | Danielle Pfeffer | Nurse Practitioner | 1115 Ronald Reagan Pkwy Ste 283, Avon, IN 46123-6914 | 2016-01-06 |
| 1710284526 | Jennifer Ann Barnes | Nurse Practitioner | 1115 Ronald Reagan Pkwy Ste 141, Avon, IN 46123-6913 | 2011-02-15 |
| 1609185206 | Melanie Marie Block-thralls | Nurse Practitioner | 10706 East Us Highway 36, Avon Urgent Care, Avon, IN 46123 | 2010-09-29 |
| 1811164593 | Kathy Gretton | Nurse Practitioner | 1675 Rosewood Dr, Avon, IN 46123-6552 | 2008-05-13 |
| Find all providers in AVON | ||||
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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.