Active NPI
Alexa Medrano, PA-C
- Physician Assistant
- Laredo, TX
National Provider Identifier
1407304173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA10732
- Practice address
- 7109 N Bartlett Ave Ste 109
Laredo, TX 78041-6473 - Phone
- (956) 727-2122
- Fax
- (956) 718-6294
- NPI assigned
- Sep 12, 2016
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA10732 | TX | Primary |
Addresses
Primary practice location
7109 N Bartlett Ave Ste 109
Laredo, TX 78041-6473
Mailing address
PO Box 3397
Laredo, TX 78044-3397
Phone (956) 718-6259
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA10732 | TX | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Laredo Sports Medicine Clinic, PA | Past | Accepting new patients |
Interoperability endpoints
- alexa.medrano.1@28730.direct.athenahealth.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 and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Laredo, TX
- NPI 1477675163
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688947200000",
"number": "1407304173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3397",
"city": "LAREDO",
"state": "TX",
"postal_code": "780443397",
"telephone_number": "956-718-6259",
"fax_number": "956-718-6294"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7109 N BARTLETT AVE STE 109",
"city": "LAREDO",
"state": "TX",
"postal_code": "780416473",
"telephone_number": "956-727-2122",
"fax_number": "956-718-6294"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDRANO",
"first_name": "ALEXA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-12",
"last_updated": "2023-07-10",
"certification_date": "2023-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA10732",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Laredo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.