MEDICARE: ALEXA NICOLE TAVARES DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	DCP00721	RI

General Provider Information

NPI Number	:	1306692934
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXA NICOLE TAVARES DC

Provider Business Mailing Address
First Line	:	820 ELMWOOD AVE PO BOX 72758
Second Line	:
City	:	PROVIDENCE
State	:	RI
Zip	:	02907
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1196 ELMWOOD AVE
Second Line	:
City	:	PROVIDENCE
State	:	RI
Zip	:	02907-3716
Country	:	US
Telephone Number	:	401-461-1600
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/25/2024
Last Update Date	:	04/25/2024

Similar Medicare Providers

1568545580 — DR. GREGG ALLEN MEDEIROS D.C.
Practice Location Address:

1196 ELMWOOD AVE
PROVIDENCE, RI
02907-3716

Practice Phone: 401-461-1600
Practice Fax: 401-461-3500

1811027592 — DR. LEONARDO JOSEPH MARINO D.C.
Practice Location Address:

1196 ELMWOOD AVE
PROVIDENCE, RI
02907-3716

Practice Phone: 401-461-1600
Practice Fax: 401-461-3500

1871879528 — CHIROPRACTIC ASSOCIATES, LLC
Practice Location Address:

1196 ELMWOOD AVE
PROVIDENCE, RI
02907-3716

Practice Phone: 401-461-1600
Practice Fax: 401-461-3500

1871710103 — MAUREEN G EGAN LICSW
Practice Location Address:

101 FRIENDSHIP ST
PROVIDENCE, RI
02903-3716

Practice Phone: 401-528-3763
Practice Fax: 401-528-3870

1215353230 — MRS. DORN M DOUGAN LICSW
Practice Location Address:

101 FRIENDSHIP ST
PROVIDENCE, RI
02903-3716

Practice Phone: 401-528-3820
Practice Fax:

1962970947 — MR. WESLEY IRISH FNP
Practice Location Address:

21 PEKIN ST
PROVIDENCE, RI
02908-3716

Practice Phone: 401-527-0615
Practice Fax:

Directions to “ ALEXA NICOLE TAVARES DC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.