CMS-1500 Box 24J / 33a • NPI
1194430702
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
363A00000X (CMS 97)
Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant
Box 32 Service Location & ZIP+4
1925 CURRY RD, SCHENECTADY, NY, 12303-3939
✓ 9-Digit EDI 837 ZIP+4 (12303-3939)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1194430702 (CHRISTINA DICKSEY ALEXANDRE, PA-C) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1194430702 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | CHRISTINA DICKSEY ALEXANDRE, PA-C |
| Plain-English Specialty | Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant NUCC Code: 363A00000X (Physician Assistant) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 1925 CURRY RD, SCHENECTADY, NY, 12303-3939 |
| Practice Telephone / Fax | Tel: (518) 356-5377 | Fax: (518) 881-1489 |
| Administrative Mailing Address | 6 WELLNESS WAY STE 201, LATHAM, NY, 12110-2156 |
| Enumeration & Last Sync | Enumerated: 2023-01-18 | CMS Record Updated: 2026-02-10 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (363A00000X)
What Does Taxonomy Code 363A00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 363A00000X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (CHRISTINA DICKSEY ALEXANDRE, PA-C)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
363A00000X — Physician AssistantPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant | State: NY | License: 031165 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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