Alexis Etienne Ingleton

Primary specialty

Assisted Living Facility (Behavioral Disturbances)Taxonomy code 3104A0630X

Practice address

15840 Badger Creek LM
Fort Worth, TX 76177

Phone

(817) 901-2505

NPI assigned

Sep 2, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1535846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535846400000",
    "number": "1447732896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15840 BADGER CREEK LM",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76177",
            "telephone_number": "817-901-2505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15840 BADGER CREEK LM",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76177",
            "telephone_number": "817-901-2505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INGLETON",
        "first_name": "ALEXIS",
        "middle_name": "ETIENNE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-02",
        "last_updated": "2018-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALING HANDS ASSISTED LIVING",
            "identifier": "831181220",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Infinity Community Solutions Inc
• Infinity Hospice Inc
• Infinity Invictus, PLLC.
• Infocus Vision, P.C.
• Infusion Services of Texas, LLC
• Lauren Nichole Ingraham, BS, RBT
• Angela Ingram, LCSW
• Jack Ingram, M.D.
• Sarah Ingram, PNP
• Ingrid Hinojosa, PC

• Assisted Living Facility (Behavioral Disturbances) in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Assisted Living Facility (Behavioral Disturbances) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2018; 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.