IndividualActive
Alexis Shears, FMD, BCDNM, PHD
NPI 1801638119 · Specialist · Fort Wayne, IN
Provider details
- NPI number
- 1801638119
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Credential
- FMD, BCDNM, PHD
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
- Health & Wellness Coach171400000X
Other Service Providers
Practice location
1621 Flint Lock Ln
Fort Wayne, IN 46845-9122
Phone: (260) 479-0131
Approximate (ZIP-level) locationGet directions
Mailing address
1621 Flint Lock Ln
Fort Wayne, IN 46845-9122
Registry dates
- Enumerated
- 2024-06-07
- Last updated
- 2025-04-28
- Certified
- 2025-04-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.