Alice Sebastian, NP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

AG08200176 Issued in TX

Practice address

328 Brutus Blvd
Lewisville, TX 75056-5854

Phone

(469) 682-3200

NPI assigned

Jan 6, 2021

Last updated

Jan 6, 2021By the provider in NPPES

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

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

Specialty

Nurse Practitioner

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cliff Omoregie MD PLLCGroup PAC ID 3173857398, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Cliff Omoregie MD PLLC

  • Internal Medicine Physician
  • Allen, TX
  • NPI 1053977942
  Medicare reassignment Care Compare group NPD
• DFW Kidney Care Clinic LLC

  • Nephrology Physician
  • North Richland Hills, TX
  • NPI 1255985156
  NPD (past)

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

{
    "created_epoch": "1609891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609891200000",
    "number": "1649868449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "328 BRUTUS BLVD",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750565854",
            "telephone_number": "469-682-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 BRUTUS BLVD",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750565854",
            "telephone_number": "469-682-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEBASTIAN",
        "first_name": "ALICE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-06",
        "last_updated": "2021-01-06",
        "certification_date": "2021-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "AG08200176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Lee Schulz
• Leslie Jayne Sconzert, PT
• Aundrea L Scott
• Eric Scott
• Sean M Callahan MD PLLC
• Diana Sebastian, MS, APRN, FNP-C
• Randy Gene Seely, DDS
• Seema Y Haque M D P a
• Maricela Segovia, RN
• Kimberly M Segrest, MS CCC-SLP

• Primary Care Nurse Practitioner in Lewisville, TX
• Providers in Lewisville, TX by specialty
• Primary Care Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.