Alisa D Cupp, APRN-CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1056561 Issued in TX

Practice address

9509 N Beach St Ste 102
Fort Worth, TX 76244-6399

Phone

(817) 396-7271

NPI assigned

Mar 11, 2022

Last updated

Jan 12, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Community Health Center of Lubbock, Inc.

  • Federally Qualified Health Center (FQHC)
  • Lubbock, TX
  • NPI 1831569540
  Medicare reassignment NPD
• Community Health Center of Lubbock, Inc

  dba Parkway Community Health Clinic

  • Federally Qualified Health Center (FQHC)
  • Lubbock, TX
  • NPI 1891768321
  NPD
• Community Health Center of Lubbock, Inc.

  dba CHCL West Medical & Dental Clinic

  • Federally Qualified Health Center (FQHC)
  • Lubbock, TX
  • NPI 1225304686
  NPD
• Community Health Center of Lubbock, Inc

  dba Community Health Center of Lubbock

  • Federally Qualified Health Center (FQHC)
  • Lubbock, TX
  • NPI 1548231046
  NPD (past)

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

{
    "created_epoch": "1646956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673481600000",
    "number": "1225786932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7012 GREENSPOINT DR",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760016780",
            "telephone_number": "806-220-6141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9509 N BEACH ST STE 102",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762446399",
            "telephone_number": "817-396-7271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUPP",
        "first_name": "ALISA",
        "middle_name": "D",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-11",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1056561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shonda Marie Cunningham, CPNP-AC
• Vicky L. Cunningham, LVN
• Whitney Sheree Cunningham, LCSW, LCDC
• Michael Cupak, D.O.
• Louise M. Cupit, L.V.N.
• Sharee Nicole Cupp, SLP ASSISTANT
• Curafi Associates of Texas, P.a.
• Angelina Louise Curbo
• Cathy Raye Curbo, LMSW-AP
• Jack Milton Curlee Jr., M.A.

• Family Nurse Practitioner in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2023; 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.

Verify at the official NPI Registry.