Individual provider · Type 1 NPI
Alexis Shears, FMD, BCDNM, PhD
Specialist · Fort Wayne, IN
NPI number
1801638119
Active
Practice location
1621 Flint Lock Ln
Fort Wayne, IN 46845-9122
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health & Wellness Coach | 171400000X | None listed |
| Specialist Primary | 174400000X | None listed |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1801638119
Alexis Shears, FMD, BCDNM, PhD's National Provider Identifier is 1801638119, issued on Jun 7, 2024. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Fort Wayne, IN. The record was last updated on Apr 28, 2025.