Active NPI
Alexa Ryanne Bianchi, MD
- Aerospace Medicine Physician
- Fort Worth, TX
National Provider Identifier
1558996363
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Aerospace Medicine Physician
- License
- 0101273235
- Practice address
- 1711 Doolittle Ave
Fort Worth, TX 76127-1133 - Phone
- (817) 782-1706
- NPI assigned
- Mar 12, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 0101273235 | VA | |
| Aerospace Medicine Physician | 2083A0100X | 0101273235 | VA | Primary |
Addresses
Primary practice location
1711 Doolittle Ave
Fort Worth, TX 76127-1133
Mailing address
14953 Gentry Dr
Aledo, TX 76008-1587
Phone (864) 918-3651
Other names 1
- Dr. Alexa Ryanne Weckbach
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101273235 | VA | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726617600000",
"number": "1558996363",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14953 GENTRY DR",
"city": "ALEDO",
"state": "TX",
"postal_code": "760081587",
"telephone_number": "864-918-3651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1711 DOOLITTLE AVE",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761271133",
"telephone_number": "817-782-1706"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIANCHI",
"first_name": "ALEXA",
"middle_name": "RYANNE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-12",
"last_updated": "2024-09-18",
"certification_date": "2024-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "VA",
"license": "0101273235",
"primary": false
},
{
"code": "2083A0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Aerospace Medicine",
"state": "VA",
"license": "0101273235",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ALEXA",
"last_name": "WECKBACH",
"middle_name": "RYANNE",
"prefix": "DR.",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.