Active NPI
Alyxandra Beth Walters, DC
- Chiropractor
- Brentwood, TN
National Provider Identifier
1245828151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3567
- Practice address
- 18 Cadillac Dr Ste 100
Brentwood, TN 37027-2001 - Phone
- (615) 669-1656
- NPI assigned
- Jan 6, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038.013655 | IL | |
| Chiropractor | 111N00000X | 3567 | TN | Primary |
Addresses
Primary practice location
18 Cadillac Dr Ste 100
Brentwood, TN 37027-2001
Mailing address
18 Cadillac Dr Ste 100
Brentwood, TN 37027-2001
Phone (615) 669-1656
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038.013655 | IL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715817600000",
"number": "1245828151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 CADILLAC DR STE 100",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370272001",
"telephone_number": "615-669-1656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 CADILLAC DR STE 100",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370272001",
"telephone_number": "615-669-1656"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALTERS",
"first_name": "ALYXANDRA",
"middle_name": "BETH",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-01-06",
"last_updated": "2024-05-16",
"certification_date": "2024-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038.013655",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TN",
"license": "3567",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brentwood, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.