Alexis Falon Sanghera, PROVISIONAL LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

10801 Executive Center Dr Ste 303
Little Rock, AR 72211-4303

Phone

(501) 506-1587

Fax

(501) 298-2165

NPI assigned

Jun 25, 2007

Last updated

Oct 23, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

• Coco Psychiatric Services PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Little Rock, AR
  • NPI 1326647918
  Medicare reassignment NPD

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1760688832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5209 J ST",
            "address_2": "APARTMENT 3",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722051826",
            "telephone_number": "501-454-6783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10801 EXECUTIVE CENTER DR STE 303",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722114303",
            "telephone_number": "501-506-1587",
            "fax_number": "501-298-2165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANGHERA",
        "first_name": "ALEXIS",
        "middle_name": "FALON",
        "name_prefix": "Mrs.",
        "credential": "PROVISIONAL LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-25",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zsolt F Sandor, MD
• Marie Sandusky, RN, APN
• Breck Sandvall, M.D.
• Joseph Sanford Jr., M.D.
• Thomas R Sanford, M.D.
• Alexandra Blue Sanroma, PA-C
• Susan M Santa Cruz, MD
• Megan Santiago, PA-C
• Melissa Santiago, PHARM.D.
• Samantha G Santiago, PA

• Social Worker in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Social Worker in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; 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.