Active NPI
Alexandria Elizabeth Imm, DC
- Chiropractor
- Hutto, TX
National Provider Identifier
1699347401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 14812
- Practice address
- 2098 Muirfield Bend Dr Ste 125
Hutto, TX 78634-3582 - Phone
- (737) 212-0439
- Fax
- (512) 857-6368
- NPI assigned
- Jul 12, 2021
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 14812 | TX | Primary |
Addresses
Primary practice location
2098 Muirfield Bend Dr Ste 125
Hutto, TX 78634-3582
Mailing address
3603 Rocky Hollow TRL Unit a
Georgetown, TX 78628-2424
Phone (512) 528-5299
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14812 | Other | TX | TEXAS BOARD OF CHIROPRACTIC EXAMINERS |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14812 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628121600000",
"number": "1699347401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3603 ROCKY HOLLOW TRL UNIT A",
"city": "GEORGETOWN",
"state": "TX",
"postal_code": "786282424",
"telephone_number": "512-528-5299",
"fax_number": "512-528-5309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2098 MUIRFIELD BEND DR STE 125",
"city": "HUTTO",
"state": "TX",
"postal_code": "786343582",
"telephone_number": "737-212-0439",
"fax_number": "512-857-6368"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IMM",
"first_name": "ALEXANDRIA",
"middle_name": "ELIZABETH",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-12",
"last_updated": "2021-08-05",
"certification_date": "2021-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "14812",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS BOARD OF CHIROPRACTIC EXAMINERS",
"identifier": "14812",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hutto, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.