Provider Demographics
NPI:1326601287
Name:HIMEL, ALEXANDRA RAE
Entity Type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:RAE
Last Name:HIMEL
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 1:1560 BOULDER ST UNIT 407
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80211-4013
Mailing Address - Country:US
Mailing Address - Phone:504-256-0780
Mailing Address - Fax:
Practice Address - Street 1:10730 E BETHANY DR STE 130
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-2689
Practice Address - Country:US
Practice Address - Phone:720-634-9431
Practice Address - Fax:877-599-0808
Is Sole Proprietor?:No
Enumeration Date:2019-04-17
Last Update Date:2023-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
CORN.1693366163W00000X
MARN2361959363LP0808X
COAPN.0999317-NP363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
W244964127OtherAETNA