1144773276 NPI number — ALEXI J. CHICOINE MSN, ARNP, NNP-BC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1144773276 NPI number — ALEXI J. CHICOINE MSN, ARNP, NNP-BC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CHICOINE
Provider First Name:
ALEXI
Provider Middle Name:
J.
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MSN, ARNP, NNP-BC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
PICKREL
Provider Other First Name:
ALEXI
Provider Other Middle Name:
J.
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1144773276
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/18/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
UNITYPOINT HEALTH - ST. LUKE'S NEONATOLOGY
Provider Second Line Business Mailing Address:
2720 STONE PARK BLVD
Provider Business Mailing Address City Name:
SIOUX CITY
Provider Business Mailing Address State Name:
IA
Provider Business Mailing Address Postal Code:
51104-3734
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
712-279-3410
Provider Business Mailing Address Fax Number:
712-279-7935

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
UNITYPOINT HEALTH - ST. LUKE'S NEONATOLOGY
Provider Second Line Business Practice Location Address:
2720 STONE PARK BLVD
Provider Business Practice Location Address City Name:
SIOUX CITY
Provider Business Practice Location Address State Name:
IA
Provider Business Practice Location Address Postal Code:
51104-3734
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
712-279-3410
Provider Business Practice Location Address Fax Number:
712-279-7935
Provider Enumeration Date:
07/25/2016

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LN0005X , with the licence number:  K144784 , registered in the state of IA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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