Individual provider Active NPI

Alexis Nicole Reese

  • Women's Health Nurse Practitioner
  • Fort Worth, TX
National Provider Identifier
1417820648
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
1018059 Issued in TX
Practice address
3025 N Tarrant Pkwy Ste 150
Fort Worth, TX 76177-8633
Phone
(972) 256-3700
Fax
(866) 630-6348
NPI assigned
Sep 24, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2025

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 1018059 TX Primary

Addresses

Primary practice location

3025 N Tarrant Pkwy Ste 150
Fort Worth, TX 76177-8633

Mailing address

3501 N Macarthur Blvd Ste 500
Irving, TX 75062-3675
Phone (972) 256-3700

Other practice location 1

245 W State Highway 114 Ste 330
Southlake, TX 76092-3640
Phone (972) 256-3700

Other names 1

  • Alexis Nicole Summers Former name

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
I20251010001740 TX Practitioner - Nurse Practitioner 2365949674 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

122 W John Carpenter Fwy
Suite 300
Irving, TX 75039-2013

3501 N Macarthur Blvd
Suite 500
Irving, TX 75062-3675

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1018059TXMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Macarthur Medical Center, PLLC Women'S Health CurrentSince Sep 26, 2025 Accepting new patients
Women'S Integrated Healthcare, P.a. Women'S Health Current Accepting new patients
Macarthur Medical Center, PLLC Women'S Health CurrentSince Sep 26, 2025 Accepting new patients

Locations

3025 N Tarrant Pkwy
Ste 150
Fort Worth, TX 76177
Phone (817) 416-2229

3501 N MacArthur Blvd
Ste 400
Irving, TX 75062
Phone (972) 594-0100

3501 N MacArthur Blvd
Ste 500
Irving, TX 75062
Phone (972) 786-0330

245 W State Highway 114
Ste 330
Southlake, TX 76092
Phone (817) 416-2229

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8654/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1758672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1417820648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 N MACARTHUR BLVD STE 500",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750623675",
            "telephone_number": "972-256-3700",
            "fax_number": "866-630-6348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3025 N TARRANT PKWY STE 150",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761778633",
            "telephone_number": "972-256-3700",
            "fax_number": "866-630-6348"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "245 W State Highway 114 Ste 330",
            "address_purpose": "LOCATION",
            "city": "Southlake",
            "state": "TX",
            "postal_code": "760923640",
            "country_code": "US",
            "telephone_number": "972-256-3700",
            "fax_number": "866-630-6348",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REESE",
        "first_name": "ALEXIS",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-24",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "TX",
            "license": "1018059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXIS",
            "last_name": "SUMMERS",
            "middle_name": "NICOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.