Active NPI
Alexia McClerkin, DC, FNP-BC
- Chiropractor
- Houston, TX
National Provider Identifier
1073997342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 12946
- 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
- Last updated
- Dec 2, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physician Chiropractor | 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | sportsandwellnessdoc.com |
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
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 12946 | MI | MD | Sports Physician Chiropractor |
| 12946 | TX | MD | Sports Physician Chiropractor |
| 965749 | TX | MD | Registered Nurse |
| 1099962 | TX | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rhonda Barnes Jordan, MD PA | Multi-Specialty | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Medicine & Rehabilitation Physician
- Houston, TX
- NPI 1609575703
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.