Individual provider Active NPI

Alexia McClerkin, DC, FNP-BC

  • Chiropractor
  • Houston, TX
National Provider Identifier
1073997342
Registry record updated Dec 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
12946 Issued in TX
Practice address
2636 S Loop W Ste 105
Houston, TX 77054-2402
Phone
(832) 844-1754
Fax
(346) 308-9994
NPI assigned
Jul 16, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2022

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NS0005X 12946 TX
Sports Physician Chiropractor 111NS0005X 12946 MI
Registered Nurse 163W00000X 965749 TX
Nurse Practitioner 363L00000X 1099962 TX
Chiropractor 111N00000X 12946 TX Primary

Addresses

Primary practice location

2636 S Loop W Ste 105
Houston, TX 77054-2402

Mailing address

2636 S Loop W Ste 105
Houston, TX 77054-2402
Phone (832) 844-1754

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL sportsandwellnessdoc.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150924001310 TX Practitioner - Chiropractic 8325356330 Practice locations: Houston, TX
I20231103001594 TX Practitioner - Nurse Practitioner 8325356330

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12946MIMDSports Physician Chiropractor
965749TXMDRegistered Nurse
1099962TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rhonda Barnes Jordan, MD PA Multi-Specialty PastSince Sep 6, 2020 Accepting new patients

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": "1437004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669939200000",
    "number": "1073997342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2636 S LOOP W STE 105",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770542402",
            "telephone_number": "832-844-1754",
            "fax_number": "346-308-9994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2636 S LOOP W STE 105",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770542402",
            "telephone_number": "832-844-1754",
            "fax_number": "346-308-9994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLERKIN",
        "first_name": "ALEXIA",
        "name_prefix": "Dr.",
        "credential": "DC, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-16",
        "last_updated": "2022-12-02",
        "certification_date": "2020-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "TX",
            "license": "12946",
            "primary": false
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "MI",
            "license": "12946",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "965749",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1099962",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "12946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "sportsandwellnessdoc.com",
            "affiliation": "N",
            "address_1": "2636 S Loop W Ste 105",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770542402",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.