Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Memory Alexandra Basile

Individual provider Physician Assistant · NPI 1942913074

Memory Alexandra Basile is a Physician Assistant in Norfolk, Virginia. Qualified in 2023, 3 years ago. Practices as a sole proprietor and works from 2 locations.

Years since qualifying
3
In the registry since
2023
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Practice location Address checks out

825 Fairfax Ave
Norfolk, VA 23507-1912
Phone: (757) 446-5600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6611 Clyo Rd Ste A, Centerville, OH 45459-2785 — (937) 208-7330

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1942913074
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 4, 2023
Last updated in NPPESApril 20, 2026
Certification dateApril 20, 2026
Mailing address825 Fairfax Ave, Norfolk, VA 23507-1912

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated

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