Individual provider Active NPI

Clarissa Tijerina, FNP

  • Family Nurse Practitioner
  • Alice, TX
National Provider Identifier
1720828627
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1001671 Issued in TX
Practice address
3308 E. Main St.
Alice, TX 78332-7174
Phone
(361) 998-9970
Fax
(261) 998-9971
NPI assigned
May 29, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 1001671 TX Primary

Addresses

Primary practice location

3308 E. Main St.
Alice, TX 78332-7174

Mailing address

305 E 3Rd St
Alice, TX 78332-4705
Phone (361) 664-9353

Other practice location 1

305 E 3rd St
Alice, TX 78332-4705
Phone (361) 664-9353

Other names 1

  • Clarissa Tijerina Professional name

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
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1001671TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
William Nisimblat Mdpa Single Specialty Current Accepting new patients
Ucp Physicians of Central Texas, PLLC Single Specialty Past Accepting new patients
Ucp Physicians of Central Texas, PLLC Single Specialty Past Accepting new patients

Locations

305 E 3rd St
Alice, TX 78332
Phone (361) 664-5291

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1716940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1720828627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 E 3RD ST",
            "city": "ALICE",
            "state": "TX",
            "postal_code": "783324705",
            "telephone_number": "361-664-9353",
            "fax_number": "361-668-1630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3308 E. MAIN ST.",
            "city": "ALICE",
            "state": "TX",
            "postal_code": "783327174",
            "telephone_number": "361-998-9970",
            "fax_number": "261-998-9971"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "305 E 3rd St",
            "address_purpose": "LOCATION",
            "city": "Alice",
            "state": "TX",
            "postal_code": "783324705",
            "country_code": "US",
            "telephone_number": "361-664-9353",
            "fax_number": "361-668-1630",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TIJERINA",
        "first_name": "CLARISSA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-29",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1001671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CLARISSA",
            "last_name": "TIJERINA",
            "credential": "FNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Alice, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; 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.