Alexandria Rae Sutton is a Physician Assistant practicing in Omaha, Nebraska. The National Provider Identifier (NPI) is #1154933992, which was assigned on August 22, 2020, and the registration record was last updated on July 23, 2025. The practitioner's main practice location is at 2915 Grant St, Omaha, NE 68111-3863; the contact telephone number is 4024513553. The primary taxonomy of Alexandria Rae Sutton is Physician Assistant (363A00000X). Alexandria Rae Sutton is licensed to practice in the state of Nebraska (#1159383).
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
| NPI | 1154933992 |
| Entity Type | Individual |
| Provider Name | ALEXANDRIA RAE SUTTON |
| Other Name |
ALEXANDRIA R MCTAGGART (Professional Name) |
| Gender | Female |
| Credential | PA-C |
| Other Credential | PA-C |
| Practice Address |
2915 Grant St Omaha NE 68111-3863 |
| Practice Telephone | 4024513553 |
| Mailing Address |
2915 Grant St Omaha NE 68111-3863 |
| Mailing Telephone | 4024513553 |
| Certification Date | 2025-07-23 |
| Enumeration Date | 2020-08-22 |
| Last Update Date | 2025-07-23 |
| Is Sole Proprietor | N |
| PAC ID |
9638522469 Medicare Provider Enrollment and Chain/Ownership System (PECOS) Associate Control (PAC) ID |
| Full Name | ALEXANDRIA RAE SUTTON |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Organization Legal Name | CHARLES DREW HEALTH CENTER INC |
| Address |
2915 Grant St Omaha NE 68111-3863 |
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 1159383 | NE |
| Code | 363A00000X |
| Taxonomy | Physician Assistant |
| Classification | Physician Assistant |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Shardae Blandin | 1731 E 120th St, Los Angeles, CA 90059-3051 | Physician Assistant | 2026-05-09 |
| Michelle Masih | 7764 Brookdale Dr, West Chester, OH 45069-3343 | Physician Assistant | 2026-05-09 |
| Kimberly Descalso | 11795 Education St Ste 222, Auburn, CA 95602-2469 | Physician Assistant | 2026-05-09 |
| Lisa Michelle Imhof | 6501 Deerview Dr, Raleigh, NC 27606-8802 | Physician Assistant | 2026-05-09 |
| Dresden Ansley Dilts | 1935 Medical District Dr, Dallas, TX 75235-7701 | Physician Assistant | 2026-05-08 |
| Bumwoo Nam · Danny Nam | 102 Mary & Carl Ice Hall 1310 Research Park Dr, Manhattan, KS 66502 | Physician Assistant | 2026-05-08 |
| Emily Kate Wells | 7077 E Central Ave, Wichita, KS 67206-1936 | Physician Assistant | 2026-05-08 |
| Evann Deal | 929 N Saint Francis Ave, Wichita, KS 67214-3821 | Physician Assistant | 2026-05-08 |
| Francesca V Madera | 94 Old Short Hills Rd, Livingston, NJ 07039-5672 | Physician Assistant | 2026-05-09 |
| Mackenzie Roach | 400 Goodys Ln Unit 5308, Knoxville, TN 37922-1914 | Physician Assistant | 2026-05-09 |
| Find all providers with the same taxonomy | |||
| Street Address |
2915 GRANT ST |
| City | OMAHA |
| State | NE |
| Zip Code | 68111-3863 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Alicia Smith | 2915 Grant St, Omaha, NE 68111-3863 | Mental Health Counselor | 2024-12-20 |
| Wayne L Tate | 2915 Grant St, Omaha, NE 68111-3863 | Pharmacist | 2017-02-24 |
| Carla Habrich | 2915 Grant St, Omaha, NE 68111-3863 | Addiction (Substance Use Disorder) Counselor | 2016-08-28 |
| Neissa Yacoubou-Coulibaly | 2915 Grant St, Omaha, NE 68111-3863 | Family Medicine Physician | 2023-08-09 |
| Morghan Price | 2915 Grant St, Omaha, NE 68111-3863 | Addiction (Substance Use Disorder) Counselor | 2021-09-17 |
| Michele Snyder | 2915 Grant St, Omaha, NE 68111-3863 | Counselor | 2023-03-29 |
| Leontyne Lynnette Evans | 2915 Grant St, Omaha, NE 68111-3863 | Addiction (Substance Use Disorder) Counselor | 2022-02-23 |
| Hope Chamara Tarrant-Moore | 2915 Grant St, Omaha, NE 68111-3863 | Mental Health Counselor | 2020-10-06 |
| Katherine Ingram | 2915 Grant St, Omaha, NE 68111-3863 | Dentist | 2024-05-20 |
| Charles Drew Health Center Inc | 2915 Grant St, Omaha, NE 68111-3863 | Federally Qualified Health Center (FQHC) | 2021-05-15 |
| Find all providers in the same location | |||
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Macdameon Simpson | 3225 Pratt St, Omaha, NE 68111 | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 2025-02-27 |
| Karen R Allington | 3483 Larimore Ave, Omaha, NE 68111 | Mental Health Counselor | 2011-01-18 |
| The Ne Care Agency | 4200 N 30th St. Suite. 203, Omaha, NE 68111 | Home Health Agency | 2025-03-03 |
| Alexis Rae Mcgary | 4304 North 33rd Street, Omaha, NE 68111 | Speech-Language Pathologist | 2016-10-20 |
| Latoya Denise Brown | 2404 Merideth Ave, Omaha, NE 68111 | Personal Care Attendant | 2026-03-16 |
| Tanaja T Jackson | 3302 Fowlerave, Omaha, NE 68111 | Personal Care Attendant | 2026-02-03 |
| Lateya Broadway | Po Box 11644, Omaha, NE 68111-0644 | Chore Provider | 2025-07-02 |
| Leticia Tchato Soh Tadjou Epse Tchato Nganko | 2808 Pratt Street, Omaha, NE 68111 | Clinical & Laboratory Dermatological Immunology Physician | 2025-09-29 |
| Charnell Ann Webb | 3428 Kansas Ave, Omaha, Ne, Usa, Omaha, NE 68111 | Home Health Agency | 2024-12-30 |
| Blooming Gem LLC | 4376 Laurel Ave, Omaha, NE 68111 | Mental Health Counselor | 2025-06-16 |
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| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Alexandria Ann Massey · Alexandria Ann Baudek | 2501 Main St, Stevens Point, WI 54481-4000 | Registered Nurse | 2026-03-05 |
| Alexandria Weinberger | 925 W 34th St, Los Angeles, CA 90089-0641 | Student in an Organized Health Care Education/Training Program | 2026-03-12 |
| Alexandria Greer · Alexandria Morgan | 101 W 8th Ave, Spokane, WA 99204-2307 | Student in an Organized Health Care Education/Training Program | 2026-03-09 |
| Alexandria Bea Mabry | 625 19th St S, Birmingham, AL 35233-1900 | Student in an Organized Health Care Education/Training Program | 2026-04-01 |
| Alexandria Cui | 12700 Hillcrest Rd Ste 207, Dallas, TX 75230-2068 | Speech-Language Pathologist | 2026-02-12 |
| Alexandria Boronow | 3031 34th St Apt 15, Astoria, NY 11103-5139 | Registered Nurse | 2026-03-11 |
| Alexandria Orr | 451 E Buffalo Rd, Robbinville, NC 28771 | Occupational Therapy Assistant | 2018-12-28 |
| Alexandria M Langlow | 205 Butte Rd, Chelan, WA 98816-9500 | Registered Nurse | 2026-04-03 |
| Alexandria Whitehead | 1420 W 2nd St, Hastings, NE 68901-4961 | Personal Care Attendant | 2026-03-11 |
| Alexandria Harber | 3398 Northwood Dr, Memphis, TN 38111-4706 | Orthopedic Physical Therapist | 2026-03-11 |
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This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
| Subject | Transparency and Disclosure |
| Jurisdiction | Federal |
| Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
| Source | download.cms.gov |
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid). Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008. This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information. |