Tisha Dawn Alexander-Bradford

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

11428 E 20TH St
Unit a
Tulsa, OK 74128-6451

Phone

(918) 878-7877

Fax

(918) 516-0397

NPI assigned

Feb 9, 2013

Last updated

Feb 21, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Miss Tisha Dawn Alexander Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1360368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361404800000",
    "number": "1205175346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9274 FREEDOM RD",
            "address_2": "APT 736",
            "city": "SAPULPA",
            "state": "OK",
            "postal_code": "740662192",
            "telephone_number": "918-938-9775",
            "fax_number": "918-227-9925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11428 E 20TH ST",
            "address_2": "UNIT A",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741286451",
            "telephone_number": "918-878-7877",
            "fax_number": "918-516-0397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEXANDER-BRADFORD",
        "first_name": "TISHA",
        "middle_name": "DAWN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-09",
        "last_updated": "2013-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200287120A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TISHA",
            "last_name": "ALEXANDER",
            "middle_name": "DAWN",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Akhilesh Mathew Alexander, DO
• Allison Alexander, PTA
• Arjane Alexander
• Breighleigh Alexander
• Constance Vernetta Alexander, M.A., LMFT

• Counselor in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2013; 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.