1487207569 NPI number — ALEXANDRIA MARIE SIMPSON TLMHC

Table of content: ALEXANDRIA MARIE SIMPSON TLMHC (NPI 1487207569)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1487207569 NPI number — ALEXANDRIA MARIE SIMPSON TLMHC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SIMPSON
Provider First Name:
ALEXANDRIA
Provider Middle Name:
MARIE
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
TLMHC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
SIMPSON
Provider Other First Name:
ALEXANDRIA
Provider Other Middle Name:
MARIE
Provider Other Name Prefix Text:
MRS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
TLMHC
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1487207569
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/18/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1003 MAPLEWOOD DR APT 209
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CEDAR FALLS
Provider Business Mailing Address State Name:
IA
Provider Business Mailing Address Postal Code:
50613-5398
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
515-556-9858
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
111 PLAZA CIR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WATERLOO
Provider Business Practice Location Address State Name:
IA
Provider Business Practice Location Address Postal Code:
50701-5138
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
319-433-0395
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/18/2019

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: 101YM0800X , with the licence number:  097135 , 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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