Provider Demographics
NPI:1053208850
Name:GAINES, ALEXIS CIARA
Entity type:Individual
Prefix:
First Name:ALEXIS
Middle Name:CIARA
Last Name:GAINES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:933 LINCOLN AVE UNIT 401
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45206-3455
Mailing Address - Country:US
Mailing Address - Phone:513-879-4593
Mailing Address - Fax:
Practice Address - Street 1:3654 ALTER PL APT 1
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45229-2121
Practice Address - Country:US
Practice Address - Phone:513-879-4593
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-23
Last Update Date:2025-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH376J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker