DUSTIN WAYNE ALEXANDER


Address: 2029 Gordon Cooper Dr, Shawnee, OK 74801
Phone: 4058785850

DUSTIN WAYNE ALEXANDER (NPI# 1831564269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1831564269
Entity Type Individual
Full Name DUSTIN WAYNE ALEXANDER
Credential APRN
Practice Address 2029 Gordon Cooper Dr
Shawnee
OK 74801
Mailing Address 15951 Little Axe Dr
Norman
OK 73026-9088
Practice Telephone 4058785850
Mailing Telephone 4054470300
Mailing Fax Number 4057017914
Enumeration Date 2015-12-10
Last Update Date 2018-07-18
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
90758 OK Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
OK 200628540B 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
15702 East Highway 9, Norman, OK 73026 4054470477
15951 Little Axe Dr, Norman, OK 730269088 4054470300

Office Location

Street Address 2029 GORDON COOPER DR
City SHAWNEE
State OK
Zip Code 74801

Providers in the same location

NPI Name Taxonomy Address Enumeration
1972615607 Pachneerat Chainakul Pediatrics 2029 Gordon Cooper Dr, Shawnee, OK 74801-9005 2006-08-31
1962049635 Jack Bryan Taylor Pharmacist 2029 Gordon Cooper Dr, Shawnee, OK 74801-9005 2019-12-02
1689174989 Jessica Lynn Kendall Nurse Practitioner 2029 Gordon Cooper Dr, Shawnee, OK 74801-9005 2018-02-14
1144761073 Susan George Nurse Practitioner 2029 Gordon Cooper Dr, Shawnee, OK 74801-9005 2017-03-11
1285037762 John Soap Jr. Counselor 2029 Gordon Cooper Dr, Shawnee, OK 74801-9005 2014-09-29
1922420280 Cody Key Pharmacist 2029 Gordon Cooper Dr, Shawnee, OK 74801-9005 2014-01-06
1427300243 Jessica Collum Pharmacist 2029 Gordon Cooper Dr, Shawnee, OK 74801-9005 2012-10-03
1932483278 Alicja Carter Counselor 2029 Gordon Cooper Dr, Shawnee, OK 74801-9005 2011-10-05
1376644930 Christine Chouteau Walsh Internal Medicine 2029 Gordon Cooper Dr, Shawnee, OK 74801-9005 2006-09-26

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1538609037 Melissa Lanier Specialist 801 N. Louisa, Shawnee, OK 74801 2017-03-02
1518365287 Melanie A. Croy Counselor 1605 N. Harrison, Shawnee, OK 74801 2014-12-12
1134532229 Megan Malouf Registered Nurse 2307 Gordon Cooper Dr., Shawnee, OK 74801 2014-06-05
1063836609 Daniel Antwain Shaw Counselor 605 S. Pottenger Ave, Shawnee, OK 74801 2014-02-18
1639514862 Cheryl Jeannette Left Hand Counselor 101 N. Union, Shawnee, OK 74801 2013-05-01
1881948644 Lena I Samilton Counselor 319 S. Kennedy Ave., Apt.112, Shawnee, OK 74801 2012-11-01
1235433681 Jenifer Sloan Case Manager/Care Coordinator 2029 S. Gordon Cooper Dr., Shawnee, OK 74801 2010-12-28
1295854958 Jack C Luman Dentist 1410 N Harrison St, Shawnee, OK 74801 2007-03-27
1942375274 M Gerald Ball Psychologist 819 North Kickapoo, Shawnee, OK 74801 2006-11-21
1205912573 Regina Steciak Tanner Physical Therapist 909 N Kickapoo, Shawnee, OK 74801 2006-10-31
Find all providers in zip 74801

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1275167397 Kari Dawn Campbell Nurse Practitioner 4306 N Pottenger Ave, Shawnee, OK 74804-1267 2020-02-27
1609400266 Kelly Elaine Bryden Nurse Practitioner 5117 Mccoy St, Shawnee, KS 66226-3807 2020-02-23
1316578842 Amanda M Rigney Nurse Practitioner 322 S Aydelotte Ave, Shawnee, OK 74801-7611 2020-02-03
1326686767 Jessica J. Hinchcliff Nurse Practitioner 5615 Maurer Rd, Shawnee, KS 66217-9766 2019-12-17
1023652815 Sabrina Macalister Nurse Practitioner 30 Redbud Ln, Shawnee, OK 74801-8732 2019-11-05
1093364622 Christiana Archibong Nurse Practitioner 21508 W 51st Pl, Shawnee, KS 66226-9731 2019-09-06
1003379728 Marta Beshe Nurse Practitioner 5818 Theden St, Shawnee, KS 66218-9232 2019-04-09
1902370802 Kelli Le Cox Nurse Practitioner 624 W Independence St Ste 116, Shawnee, OK 74804-4329 2019-01-14
1497243851 Kendra Kirkendall Nurse Practitioner 421 N Beard Ave, Shawnee, OK 74801-6715 2018-05-01
1972975092 Kristina Feezor Nurse Practitioner 1904 Gordon Cooper Dr, Shawnee, OK 74801-8603 2015-10-28
Find all providers in SHAWNEE

Competitor

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City SHAWNEE
Zip Code 74801

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Dataset Information

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.

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