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
- 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 |
| 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 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
- 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.