Alita Elena Adair, RN
Individual provider Active NPI Registered Nurse · Tyler, TX
NPI 1003386905 · NPPES record last updated Dec 4, 2018
Key facts
- NPI
- 1003386905
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 839975 (TX)
- Practice address
- 3405 Martha St
Tyler, TX 75702-1650 - Phone
- (903) 283-4692
- NPI assigned
- Dec 4, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 839975 | TX | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 839975 | TX | Yes |
Addresses
Primary practice location
3405 Martha St
Tyler, TX 75702-1650
Mailing address
3405 Martha St
Tyler, TX 75702-1650
Phone (903) 283-4692
Other providers in Tyler, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 4, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.