MEDICARE: ALEXANDRA VAOIFI

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	TMP-162708	KS
2	163W00000X	Registered Nurse	2021020302	MO
3	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	5383885061	KS
4	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	2025053317	MO

General Provider Information

NPI Number	:	1316761166
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXANDRA VAOIFI

Provider Business Mailing Address
First Line	:	19709 E 11TH TER N
Second Line	:
City	:	INDEPENDENCE
State	:	MO
Zip	:	64056-2731
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	821 ADMIRAL BLVD
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64106-1516
Country	:	US
Telephone Number	:	816-295-4919
Fax Number	:

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

Provider Enumeration Date	:	11/08/2024
Last Update Date	:	02/09/2026

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Directions to “ ALEXANDRA VAOIFI ” Practice Location

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