Individual provider Active NPI

Alicia Sandoval-Alexander, NP, FNP-BC, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Cypress, TX
National Provider Identifier
1023464690
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP130224 Issued in TX
Practice address
17774 Cypress Rosehill Rd Ste 400
Cypress, TX 77429-7815
Phone
(832) 850-3110
Fax
(832) 850-3112
NPI assigned
May 12, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP130224 TX Primary
Family Nurse Practitioner 363LF0000X AP130224 TX

Addresses

Primary practice location

17774 Cypress Rosehill Rd Ste 400
Cypress, TX 77429-7815

Mailing address

1255 Eldridge Pkwy Apt 219
Houston, TX 77077-2163
Phone (832) 850-3110

Other practice location 1

11777 Katy Fwy
Houston, TX 77079-1703
Phone (832) 548-5000

Other practice location 2

16712 Huffmeister Rd Ste 400A
Cypress, TX 77429-8695
Phone (832) 850-3110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160608000078 TX Practitioner - Nurse Practitioner 7315237138 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

16712 Huffmeister Rd
Suite 400a
Cypress, TX 77429-8695
Phone (832) 850-3110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Innova Mind and Body Family CurrentSince Apr 20, 2023 Accepting new patients

Locations

16712 Huffmeister Rd
Ste 400A
Cypress, TX 77429
Phone (832) 850-3110

17774 Cypress Rosehill Rd
Ste 400
Cypress, TX 77429
Phone (281) 205-7997

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1463011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1023464690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 ELDRIDGE PKWY APT 219",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770772163",
            "telephone_number": "832-850-3110",
            "fax_number": "832-850-3112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17774 CYPRESS ROSEHILL RD STE 400",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774297815",
            "telephone_number": "832-850-3110",
            "fax_number": "832-850-3112"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11777 Katy Fwy",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770791703",
            "country_code": "US",
            "telephone_number": "832-548-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16712 Huffmeister Rd Ste 400A",
            "address_purpose": "LOCATION",
            "city": "Cypress",
            "state": "TX",
            "postal_code": "774298695",
            "country_code": "US",
            "telephone_number": "832-850-3110",
            "fax_number": "832-850-3112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDOVAL-ALEXANDER",
        "first_name": "ALICIA",
        "credential": "NP, FNP-BC, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-12",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP130224",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP130224",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, TX

Sources for this page

Verify at the official NPI Registry.