Individual provider Active NPI

Alisha N Barker

  • Pediatric Nurse Practitioner
  • Mesquite, TX
National Provider Identifier
1568058972
Registry record updated Dec 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
1012923 Issued in TX
Practice address
1650 Republic Pkwy Ste 120
Mesquite, TX 75150-6916
Phone
(972) 285-0838
NPI assigned
Dec 19, 2020
Last updated
Dec 19, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 1012923 TX Primary

Addresses

Primary practice location

1650 Republic Pkwy Ste 120
Mesquite, TX 75150-6916

Mailing address

1001 Schrade TRL
Mesquite, TX 75181-1281
Phone (214) 797-6660

Other practice location 1

3721 W 15th St Ste 603
Plano, TX 75075-7755
Phone (972) 867-6880

Other practice location 2

763 E US Highway 80 Ste 210
Forney, TX 75126-8681
Phone (469) 290-4592

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
I20211220000547 TX Practitioner - Nurse Practitioner 6406247816 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tots N Teens Clinics PastSince Jan 3, 2023 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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": "1608336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608336000000",
    "number": "1568058972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 SCHRADE TRL",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751811281",
            "telephone_number": "214-797-6660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 REPUBLIC PKWY STE 120",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751506916",
            "telephone_number": "972-285-0838"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3721 W 15th St Ste 603",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750757755",
            "country_code": "US",
            "telephone_number": "972-867-6880",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "763 E US Highway 80 Ste 210",
            "address_purpose": "LOCATION",
            "city": "Forney",
            "state": "TX",
            "postal_code": "751268681",
            "country_code": "US",
            "telephone_number": "469-290-4592",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARKER",
        "first_name": "ALISHA",
        "middle_name": "N",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-19",
        "last_updated": "2020-12-19",
        "certification_date": "2020-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "1012923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesquite, TX

Sources for this page

Verify at the official NPI Registry.