Individual provider Active NPI

Alexis Elayne Truesdell

  • Family Nurse Practitioner
  • Lubbock, TX
National Provider Identifier
1154911873
Registry record updated May 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1019866 Issued in TX
Practice address
6002 Slide Rd # D24
Lubbock, TX 79414-4310
Phone
(806) 761-0450
Fax
(806) 796-7259
NPI assigned
Jan 26, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 873005 TX
Family Nurse Practitioner 363LF0000X 1019866 TX Primary

Addresses

Primary practice location

6002 Slide Rd # D24
Lubbock, TX 79414-4310

Mailing address

5219 City Bank Pkwy Ste 35
Lubbock, TX 79407-3545
Phone (806) 761-0333

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Alexis.Truesdell@direct.myteamcare.com Direct UMC Physicians

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
I20210225002924 TX Practitioner - Nurse Practitioner 6002221900 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Umc PhysiciansGroup PAC ID 9830003631, 107 clinicians

Practice addresses (Care Compare)

6002 Slide Rd
D24
Lubbock, TX 79414-4310
Phone (806) 761-0450

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
873005TXMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Umc Physicians Family CurrentSince Feb 15, 2021 Accepting new patients
Lubbock County Hospital District Past Accepting new patients
Lubbock County Hospital District PastSince Aug 1, 2021 Accepting new patients
Lubbock County Hospital District Past Accepting new patients

Locations

808 Joliet Ave
Unit 110
Lubbock, TX 79415
Phone (806) 761-0403

5219 City Bank Pkwy
Ste 214
Lubbock, TX 79407

6002 Slide Rd
#D24
Lubbock, TX 79414
Phone (806) 761-0450

808 Joliet Ave
Lubbock, TX 79415
Phone (806) 722-7400

7301 Milwaukee Ave
Lubbock, TX 79424
Phone (806) 761-0464

5219 City Bank Pkwy
Ste 35
Lubbock, TX 79407
Phone (806) 761-0334

Interoperability endpoints

  • Direct secure messaging: alexis.truesdell@direct.myteamcare.com

Organizations & group practices 4

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": "1611619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653264000000",
    "number": "1154911873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5219 CITY BANK PKWY STE 35",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794073545",
            "telephone_number": "806-761-0333",
            "fax_number": "806-782-0097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6002 SLIDE RD # D24",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794144310",
            "telephone_number": "806-761-0450",
            "fax_number": "806-796-7259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUESDELL",
        "first_name": "ALEXIS",
        "middle_name": "ELAYNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-26",
        "last_updated": "2022-05-23",
        "certification_date": "2022-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "873005",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1019866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Alexis.Truesdell@direct.myteamcare.com",
            "affiliation": "Y",
            "affiliationName": "UMC Physicians",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "6002 Slide Rd # D24",
            "city": "Lubbock",
            "state": "TX",
            "country_code": "US",
            "postal_code": "794144310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.