Alexander M Tanjuakio, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

701513 Issued in TX

Practice address

3100 McKinnon St
Suite 400
Dallas, TX 75201-1044

Phone

(214) 754-8700

Fax

(214) 239-3769

NPI assigned

Jul 10, 2010

Last updated

Jan 18, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Americare Specialty Homehealth Incorporated

  dba Asia Home Healthcare Incorporated

  • Home Health Agency
  • Keller, TX
  • NPI 1356398887

  5% Or Greater Direct Ownership Interest, W-2 Managing Employee

  CMS ownership

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.

• Ibidunni O Ukegbu PA

  dba Pearl Medical Clinic

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1861760506
  Medicare reassignment NPD
• Medinet Healthcare Agency Inc

  • Family Medicine Physician
  • Addison, TX
  • NPI 1942671573
  Medicare reassignment NPD
• Savers Card LLC

  dba Senior Saints Home Care

  • Home Health Agency
  • Mesquite, TX
  • NPI 1083921167
  NPD (past) Authorized official
• Americare Specialty Homehealth Incorporated

  dba Asia Home Healthcare Incorporated

  • Home Health Agency
  • Keller, TX
  • NPI 1356398887
  NPD (past)
• Dallas Geriatrics Associates, P.a

  • Geriatric Medicine (Family Medicine) Physician
  • Balch Springs, TX
  • NPI 1629258058
  NPD (past)
• Lifevantage House Calls PLLC

  • General Practice Physician
  • Fort Worth, TX
  • NPI 1679963771
  NPD (past)
• Sumana Ketha, MD PA

  • Internal Medicine Physician
  • Irving, TX
  • NPI 1356565865
  NPD (past)

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

{
    "created_epoch": "1278720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326844800000",
    "number": "1245542976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10605 LANSDOWNE LN",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "750898388",
            "telephone_number": "214-577-5016",
            "fax_number": "972-463-6523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 MCKINNON ST",
            "address_2": "SUITE 400",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752011044",
            "telephone_number": "214-754-8700",
            "fax_number": "214-239-3769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANJUAKIO",
        "first_name": "ALEXANDER",
        "middle_name": "M",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-10",
        "last_updated": "2012-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "701513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sydney Yeap Tang, CRNA
• Wei Tang, M.D., PH.D.
• Aunre-Anna Tangney, LPC
• Jennifer Ngeniform Tangyie
• Enjema Tanifum, PHARMD
• Russell K Tankersley, D.D.S.
• Stephen M Tankersley, MD
• Henri C Tannas, MD
• Carla Ruth Tanner, PHARM.D.
• Stetler Tanner

• Family Nurse Practitioner in Dallas, TX
• Providers in Dallas, 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 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.