Alexandra Stafford, NP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

1049938 Issued in TX

Practice address

3730 Savio River CT
Katy, TX 77493-4318

Phone

(979) 285-4939

NPI assigned

Dec 10, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1607558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688083200000",
    "number": "1760088090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3730 SAVIO RIVER CT",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774934318",
            "telephone_number": "979-285-4939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3730 SAVIO RIVER CT",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774934318",
            "telephone_number": "979-285-4939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAFFORD",
        "first_name": "ALEXANDRA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-10",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "TX",
            "license": "915268",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "1049938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St Michael EMS Inc
• Edwine St-Juste
• Mystique N St.Hill
• Lucrecia Trabanino Sta Ana, MD
• Susan B Stabe, MD
• Allison Stafford
• Edith Stafford
• Nicholas Ryan Stafford
• Natalie Marie Staggers, LPC,LCDC
• Nicole Kimberly Stahl, MD

• Pediatric Nurse Practitioner in Katy, TX
• Providers in Katy, TX by specialty
• Pediatric Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2023; 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.