Healthcare Provider Details

I. General information

NPI: 1811214547
Provider Name (Legal Business Name): KRISTA RUTH ALEXANDER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KRISTA RUTH NOACK

II. Dates (important events)

Enumeration Date: 04/20/2010
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15000 WESTON PKWY OFC 171
CARY NC
27513-2118
US

IV. Provider business mailing address

15000 WESTON PKWY OFC 171
CARY NC
27513-2118
US

V. Phone/Fax

Practice location:
  • Phone: 917-634-5311
  • Fax: 888-815-3583
Mailing address:
  • Phone: 917-634-5311
  • Fax: 888-815-3583

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number0101280391
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number2015-00359
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number326302
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: