Active NPI
Alexandra Dezell, RN, MSN, CPNP
- Pediatric Nurse Practitioner
- Austin, TX
National Provider Identifier
1336546282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- AP126009
- Practice address
- 1015 E 32ND St
Ste 203
Austin, TX 78705-2707 - Phone
- (512) 476-5437
- NPI assigned
- Nov 20, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | AP126009 | TX | Primary |
Addresses
Primary practice location
1015 E 32ND St
Ste 203
Austin, TX 78705-2707
Mailing address
1015 E 32ND St
Ste 203
Austin, TX 78705-2707
Phone (512) 476-5437
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 742809697 | Medicaid | TX |
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)
- Not enrolled
- Credentials
- Certified Pediatric Nurse Practitioner, Master of Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP126009 | TX | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peds Center of Round Rock PA | Past | Accepting new patients | |
| Pediatric Care of Austin, PA | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Pediatrics Physician
- Austin, TX
- NPI 1497959373
-
- Pediatrics Physician
- Austin, TX
- NPI 1316413958
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416441600000",
"number": "1336546282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1015 E 32ND ST",
"address_2": "STE 203",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787052707",
"telephone_number": "512-476-5437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1015 E 32ND ST",
"address_2": "STE 203",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787052707",
"telephone_number": "512-476-5437"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEZELL",
"first_name": "ALEXANDRA",
"name_prefix": "Miss",
"credential": "RN, MSN, CPNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-11-20",
"last_updated": "2014-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "TX",
"license": "AP126009",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "742809697",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.