Individual provider Active NPI

Tamatha Marie Alexander, APRN

  • Pediatric Nurse Practitioner
  • Independence, MO
National Provider Identifier
1093365496
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
2019024921 Issued in MO
Practice address
4731 S Cochise Dr Ste 100
Independence, MO 64055-6975
Phone
(816) 373-1111
Fax
(816) 373-9222
NPI assigned
Sep 17, 2019
Last updated
Sep 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 2019024921 MO Primary

Addresses

Primary practice location

4731 S Cochise Dr Ste 100
Independence, MO 64055-6975

Mailing address

4731 S Cochise Dr Ste 100
Independence, MO 64055-6975
Phone (816) 373-1111

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL talexander@lspeds.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2019024921MOMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baby and Child Associates LLC Pediatrics PastSince Sep 1, 2019 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: tamatha.alexander.1@30069.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1568678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756771200000",
    "number": "1093365496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4731 S COCHISE DR STE 100",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640556975",
            "telephone_number": "816-373-1111",
            "fax_number": "816-373-9222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4731 S COCHISE DR STE 100",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640556975",
            "telephone_number": "816-373-1111",
            "fax_number": "816-373-9222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEXANDER",
        "first_name": "TAMATHA",
        "middle_name": "MARIE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-17",
        "last_updated": "2025-09-02",
        "certification_date": "2025-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MO",
            "license": "2019024921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "talexander@lspeds.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4731 S Cochise Dr Ste 100",
            "city": "Independence",
            "state": "MO",
            "country_code": "US",
            "postal_code": "640556975",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Independence, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.