Individual provider Active NPI

Alicia Nicole Demitchell, FNP-C

  • Family Nurse Practitioner
  • Arlington, TX
National Provider Identifier
1588414494
Registry record updated Mar 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1130631 Issued in TX
Practice address
3051 S Center St
Arlington, TX 76014-2023
Phone
(817) 468-1818
NPI assigned
Mar 25, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1130631 TX Primary

Addresses

Primary practice location

3051 S Center St
Arlington, TX 76014-2023

Mailing address

321 Allenwood Dr
Fort Worth, TX 76134-5356
Phone (616) 690-8638

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
I20240603000619 TX Practitioner - Nurse Practitioner 1355883687 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Questcare Medical Clinics PLLC CurrentSince Apr 25, 2024 Accepting new patients
Questcare Medical Clinics PLLC CurrentSince Apr 25, 2024 Accepting new patients
Questcare Medical Clinics PLLC Current Accepting new patients

Locations

3051 S Center St
Arlington, TX 76014
Phone (817) 468-1818

1571 SW Wilshire Blvd
Ste 500
Burleson, TX 76028
Phone (817) 295-1121

8861 Davis Blvd
Ste 100
Keller, TX 76248
Phone (817) 431-5073

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/32456/brand/1/csg/1/fhir/r4
  • Direct secure messaging: alicia.demitchell.1@32456.direct.athenahealth.com

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": "1711324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711324800000",
    "number": "1588414494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 ALLENWOOD DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761345356",
            "telephone_number": "616-690-8638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3051 S CENTER ST",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760142023",
            "telephone_number": "817-468-1818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMITCHELL",
        "first_name": "ALICIA",
        "middle_name": "NICOLE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-25",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1130631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.