Individual ProviderAlexandra FortNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address2001 Laurel Ave Ste 101, Knoxville, TN 37916-1866(865) 549-4444PECOS EnrollmentBased on the most recent information from CMS, provider Alexandra Fort is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1245699222Provider TypeIndividualFull NameFort, AlexandraCredentialFNP-BCGenderFemaleSole ProprietorNoEnumeration Date2/18/2016Last Updated2/9/2024Contact InformationPractice LocationPractice Address2001 Laurel Ave Ste 101, Knoxville, TN 37916-1866Phone(865) 549-4444Fax(865) 549-4449Mailing LocationMailing Address2001 Laurel Ave Ste 101, Knoxville, TN 37916-1866Phone(865) 549-4444Fax(865) 549-4449Provider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseAPN20520TennesseeCode163W00000XDescriptionRegistered NurseNursing Service ProvidersLicenseRN190657Tennessee