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DR. SAMUEL ROBERT ALEXANDER DC, LN
NPI 1134635485
Nutritionist in Roseville, MN

Active since December 22, 2017
1700 S HWY 36 SERVICE DR, #400, ROSEVILLE, MN 55113(507) 519-0552 Get Directions Write a Review

NPPES record last updated: October 15, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 10, 2021, Jun 29, 2020, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Dr. Samuel Robert Alexander Dc, Ln NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SAMUEL ROBERT ALEXANDER DC, LN (NPI 1134635485) is an individual nutritionist in Roseville, Minnesota, licensed in Minnesota (N257) and active in the NPI registry since December 2017. He is a graduate of Other (2021).

NPPES Registry Identity

NPI1134635485
Entity TypeIndividualMale
Primary Taxonomy133N00000X
Provider Legal NameDR. SAMUEL ROBERT ALEXANDERCredential: DC, LN
Location Address1700 S HWY 36 SERVICE DR, #400Roseville, MN 55113-2453
Mailing Address10725 202nd St WLakeville, MN 55044-7861 · (612) 281-1240
Phone(507) 519-0552
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateDecember 22, 2017
Last NPPES UpdateOctober 15, 20244 updates tracked since enumeration
NPPES CertifiedOctober 15, 2024
✔ NPI 1134635485 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNutritionistDietary & Nutritional Service Providers
Taxonomy Code133N00000X
License✔ Licensed in MN · N257
Definition
A specialist in adapting and applying food and nutrient knowledge to the solution of food and nutritional problems, the control of disease, and the promotion of health. Nutritionists perform research, instruct groups and individuals about nutritional requirements, and assist people in developing meal patterns that meet their nutritional needs; (2) A nutritionist is someone who has completed undergraduate and/or graduate training in the discipline of nutrition without necessarily meeting the academic and experience requirements to qualify for the Registered Dietitian designation.
Also ListedChiropractorTaxonomy 111N00000X · License 6450 (MN)
1700 S HWY 36 SERVICE DR, Roseville, MN 55113
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Samuel Robert Alexander Dc, Ln is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1153680137
PECOS Enrollment IDI20260528003488

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samuel Alexander's NPI number?

The NPI number for Samuel Alexander is 1134635485. It was assigned to this individual provider in the NPPES registry on December 22, 2017.

Where is Samuel Alexander located?

Samuel Alexander practices at 1700 S Hwy 36 Service Dr #400, Roseville, MN 55113. The listed phone number is (507) 519-0552.

What is Samuel Alexander's specialty?

The primary specialty registered for this NPI is Nutritionist with taxonomy code 133N00000X.

Is Samuel Alexander enrolled in Medicare?

Yes. Samuel Alexander is registered in the Medicare PECOS enrollment system.

What insurance does Samuel Alexander accept?

Health plans from Medica list Samuel Alexander as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Samuel Alexander was last updated on October 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.