Individual provider Active NPI

Alisha Aprielle Wren, MD

  • Emergency Medicine Physician
  • Katy, TX
National Provider Identifier
1417918384
Registry record updated May 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
M9749 Issued in TX
Practice address
2506 Monarch Terrace Dr Apt 2707
Katy, TX 77494-0669
Phone
(510) 798-0153
Fax
(713) 893-6717
NPI assigned
Mar 30, 2006
Last updated
May 17, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X M9749 TX Primary

Addresses

Primary practice location

2506 Monarch Terrace Dr Apt 2707
Katy, TX 77494-0669

Mailing address

2506 Monarch Terrace Dr Apt 2707
Katy, TX 77494-0669
Phone (510) 798-0153

Other identifiers 4

IdentifierTypeStateIssuer
213105401MedicaidTX
8CH899OtherTXBCBS TX
1417918384OtherTXTRI CARE SOUTH
1417918384OtherTXBCBS TX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
82650CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Richmond Emergency Medicine Associates PA Emergency Medicine Past Accepting new patients
David Wren, Jr., M.D., Inc 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, 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": "1143676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558051200000",
    "number": "1417918384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2506 MONARCH TERRACE DR APT 2707",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774940669",
            "telephone_number": "510-798-0153",
            "fax_number": "713-893-6717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2506 MONARCH TERRACE DR APT 2707",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774940669",
            "telephone_number": "510-798-0153",
            "fax_number": "713-893-6717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WREN",
        "first_name": "ALISHA",
        "middle_name": "APRIELLE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-30",
        "last_updated": "2019-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "M9749",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "213105401",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS TX",
            "identifier": "8CH899",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRI CARE SOUTH",
            "identifier": "1417918384",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS TX",
            "identifier": "1417918384",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.