Healthcare Provider Details
I. General information
NPI: 1245180389
Provider Name (Legal Business Name): ALEXA PIFER
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 01/29/2026
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9015 ANTARES AVE
COLUMBUS OH
43240-2012
US
IV. Provider business mailing address
9015 ANTARES AVE
COLUMBUS OH
43240-2012
US
V. Phone/Fax
- Phone: 614-618-0017
- Fax: 614-635-9229
- Phone: 614-618-0017
- Fax: 614-635-9229
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163WC0200X |
| Taxonomy | Critical Care Medicine Registered Nurse |
| License Number | RN.494485 |
| License Number State | OH |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | APRN.CNP.0042389 |
| License Number State | OH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: