Alikia Shavon Abner, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

778010 Issued in TX

Practice address

113 Pleasant Valley Dr
Suite 210
Boerne, TX 78006-5683

Phone

(830) 267-4575

NPI assigned

Jul 25, 2016

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

Other names 1

• Alikia Shavon Proctor Former name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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 and National Provider Directory roles.

• Coe-Medical PLLC

  • Family Medicine Physician
  • Boerne, TX
  • NPI 1073907184

  TX

  Medicare reassignment NPD
• CS Pacs 3 Southwest, LLC

  • Hospitalist Physician
  • Baytown, TX
  • NPI 1275398430

  TX

  Medicare reassignment NPD
• Ipc Pac Healthcare Services of Texas PLLC

  • Hospitalist Physician
  • Addison, TX
  • NPI 1194174201

  TX

  Medicare reassignment NPD
• NV Pacs 2 LLC

  • Hospitalist Physician
  • Las Vegas, NV
  • NPI 1427534809

  TX

  Medicare reassignment NPD

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

{
    "created_epoch": "1469404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469404800000",
    "number": "1750834826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2805 MISTYWOOD LN",
            "city": "SCHERTZ",
            "state": "TX",
            "postal_code": "781083482",
            "telephone_number": "210-870-9830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 PLEASANT VALLEY DR",
            "address_2": "SUITE 210",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780065683",
            "telephone_number": "830-267-4575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABNER",
        "first_name": "ALIKIA",
        "middle_name": "SHAVON",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-25",
        "last_updated": "2016-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "778010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALIKIA",
            "last_name": "PROCTOR",
            "middle_name": "SHAVON",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• 210 Nutrition Coaching
• A G Medical Solutions, PLLC
• A Plus Pediatrics, PA
• A&N Vision, P.a.
• Ability Ahtletics
• Jillian Abraham
• Angelica Acevedo, SLPA
• Justyne Andrea Acevedo, FNP-C
• Aciestx LLC
• Acorn Counseling PLLC

• All providers in Boerne, TX
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.