Healthcare Provider Details

I. General information

NPI: 1831015221
Provider Name (Legal Business Name): ALEXANDRA LOU SIEMENS CPNP-PC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2401 GILLHAM RD
KANSAS CITY MO
64108-4619
US

IV. Provider business mailing address

1259 W GREGORY BLVD
KANSAS CITY MO
64114-1125
US

V. Phone/Fax

Practice location:
  • Phone: 720-837-9383
  • Fax:
Mailing address:
  • Phone: 720-837-9383
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number53-85753-041
License Number StateKS
# 2
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number2026029342
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: