Active NPIIndividual provider

Ms. Alexa T Grande, PA

Physician Assistant in North Providence, Rhode Island

NPI Number1417524745
Practice location
115 Manchester Farm RD, North Providence, RI 02904-3340
Fax
—
Last updated
April 27, 2026

Alexa Tomissa Grande is a Physician Assistant based in North Providence, RI. Alexa Tomissa Grande practices in North Providence, RI and has the professional credentials of PA. The NPI Number for Alexa Tomissa Grande is 1417524745 and holds a License No. PA01318 (RI). The current practice location address for Alexa Tomissa Grande is 115 Manchester Farm RD, North Providence, RI 02904-3340 and can be reached out via phone at 401-533-3231.

Provider Profile Details

NPI Number
1417524745
Provider Name
Alexa Tomissa Grande
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
115 Manchester Farm RD, North Providence, RI 02904-3340
Phone Number
401-533-3231
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
June 7, 2021
Last Update Date
April 27, 2026
Certification Date
April 27, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
115 Manchester Farm RD
North Providence, RI 02904-3340
Zip
02904-3340
Phone Number
401-533-3231
North Providence, RI 02904Get directions →

Provider Business Mailing Address Details

Address
115 Manchester Farm RD
North Providence, RI 02904-3340
City
North Providence
State
RI
Zip
02904-3340
Phone Number
401-533-3231

License Information

Taxonomy (1)
Physician Assistant · 363A00000X
License Number (2)
PA01318
License State (2)
RI
Taxonomy (2)
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ms. Alexa T Grande, PA?

The NPI number of Ms. Alexa T Grande, PA is 1417524745. It was assigned on June 7, 2021 and is currently active in the NPPES registry.

What is the specialty of Ms. Alexa T Grande, PA?

Ms. Alexa T Grande, PA is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in RI under license number PA01318.

Where does Ms. Alexa T Grande, PA practice?

The practice location is 115 Manchester Farm RD, North Providence, RI 02904-3340. The office can be reached at 401-533-3231 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1417524745 directly on the NPPES registry website.

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