Alexis Lache Upshaw

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

1009009 Issued in TX

Practice address

4801 Brentwood Stair Rd Ste 404
Fort Worth, TX 76103-1731

Phone

(817) 492-9383

NPI assigned

Jul 2, 2024

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Texas Treatment Services LLC

  • Methadone Clinic
  • Fort Worth, TX
  • NPI 1932377082
  NPD (past)
• Texas Treatment Services, LLC

  • Methadone Clinic
  • Denton, TX
  • NPI 1891331179
  NPD (past)

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

{
    "created_epoch": "1719878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1336985191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 BRENTWOOD STAIR RD STE 404",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761031731",
            "telephone_number": "817-492-9383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 BRENTWOOD STAIR RD STE 404",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761031731",
            "telephone_number": "817-492-9383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UPSHAW",
        "first_name": "ALEXIS",
        "middle_name": "LACHE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-02",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "1009009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Unthsc
• Samip Upadhyaya, PHARMACIST
• Jesse Lloyd Upchurch Jr., LPC
• Sesha S Uppalapati, M.D.
• Reshma Upreti
• Caitlin Upton
• Urban Village Family Services, LLC.
• Soo Urban, D.O.
• Jocelyn M Urbano, PMHNP
• Beatriz Urbina

• Licensed Vocational Nurse in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Licensed Vocational Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.

Verify at the official NPI Registry.