Individual provider Active NPI

Alexis Lee Ward, WHNP

  • Women's Health Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1346516309
Registry record updated Mar 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
671161 Issued in TX
Practice address
7424 Greenville Ave
Ste 206
Dallas, TX 75231-4552
Phone
(214) 363-2004
Fax
(214) 378-7483
NPI assigned
Mar 23, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 671161 TX Primary

Addresses

Primary practice location

7424 Greenville Ave
Ste 206
Dallas, TX 75231-4552

Mailing address

7424 Greenville Ave
Ste 206
Dallas, TX 75231-4552
Phone (214) 363-2004

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20140724000344 TX Practitioner - Nurse Practitioner 2567688757 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
671161TXMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tyler Obstetrics and Gynecology L L P CurrentSince Mar 15, 2016 Accepting new patients

Locations

700 Olympic Plaza Cir
Ste 602
Tyler, TX 75701
Phone (903) 593-2468

Interoperability endpoints

  • Direct secure messaging: alexis.ward.p1@direct.ppgt.nextgenshare.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1332460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332460800000",
    "number": "1346516309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7424 GREENVILLE AVE",
            "address_2": "STE 206",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314552",
            "telephone_number": "214-363-2004",
            "fax_number": "214-378-7483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7424 GREENVILLE AVE",
            "address_2": "STE 206",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314552",
            "telephone_number": "214-363-2004",
            "fax_number": "214-378-7483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARD",
        "first_name": "ALEXIS",
        "middle_name": "LEE",
        "credential": "WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-23",
        "last_updated": "2012-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "TX",
            "license": "671161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.