Active NPI
Alexis Tanaka, LMSW
- Social Worker
- Cedar Park, TX
National Provider Identifier
1598336265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 105037
- Practice address
- 201 S Lakeline Blvd Ste 602
Cedar Park, TX 78613-2747 - Phone
- (512) 200-4328
- NPI assigned
- Jul 5, 2021
- Last updated
- Oct 31, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 105037 | TX | Primary |
Addresses
Primary practice location
201 S Lakeline Blvd Ste 602
Cedar Park, TX 78613-2747
Mailing address
224 Amber LN
Jarrell, TX 76537-1462
Phone (512) 520-4328
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 105037 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698710400000",
"number": "1598336265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "224 AMBER LN",
"city": "JARRELL",
"state": "TX",
"postal_code": "765371462",
"telephone_number": "512-520-4328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 S LAKELINE BLVD STE 602",
"city": "CEDAR PARK",
"state": "TX",
"postal_code": "786132747",
"telephone_number": "512-200-4328"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANAKA",
"first_name": "ALEXIS",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-05",
"last_updated": "2023-10-31",
"certification_date": "2023-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "TX",
"license": "105037",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cedar Park, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.