Alice Place Medical Care Services

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

ALICE PLACE MEDICAL CARE SERVICES

Practice address

2719 La Jolla Blvd
Grand Prairie, TX 75054-0299

Phone

(469) 756-7021

Fax

(469) 502-3622

NPI assigned

Aug 25, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Monnie E Adereti, FNP

Title

Ceo

Phone

(469) 756-7021

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

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

{
    "created_epoch": "1629849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640649600000",
    "number": "1710654900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2719 LA JOLLA BLVD",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750540299",
            "telephone_number": "469-756-7021",
            "fax_number": "469-502-3622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2719 LA JOLLA BLVD",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750540299",
            "telephone_number": "469-756-7021",
            "fax_number": "469-502-3622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALICE PLACE MEDICAL CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-25",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-28",
        "status": "A",
        "authorized_official_last_name": "ADERETI",
        "authorized_official_first_name": "MONNIE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "469-756-7021",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "370763001",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "EHR",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "2719 La Jolla Blvd",
            "city": "Grand Prairie",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750540299",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Andriana Love Alexander, MD
• Alexus Dutchess Medical Consulant
• Felicia Dwan Alford, LMSW
• Khalillah S Ali, NP
• Alice Place Health Care Services
• Align Chirocare, PLLC
• Alignment and Motion Chiropractic PLLC
• Alive Diagnostics
• All Manage Care Services, LLC
• All Purpose Home Health Care Inc.

• Family Nurse Practitioner in Grand Prairie, TX
• Providers in Grand Prairie, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 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.

Verify at the official NPI Registry.