Alexa Rae Anglin, D.N.P.

Individual provider Active NPI Pediatric Nurse Practitioner · Lebanon, TN

NPI 1821452392 · NPPES record last updated Apr 11, 2016

Key facts

NPI: 1821452392
Entity type: Individual (NPI type 1)
Primary specialty: Pediatric Nurse Practitioner 363LP0200X
License: 21115 (TN)
Practice address: 365 S Hartmann Dr
Suite 106
Lebanon, TN 37087-4787
Phone: (615) 288-0075
NPI assigned: Apr 11, 2016
Sex: Female
Sole proprietor: No

Organizations & group practices 1

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.

America Cares Trust, Inc Family Medicine Physician · Nashville, TN · NPI 1215364633

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
21115	TN	MD	Pediatric Nurse Practitioner

Practice roles

Organization	Specialty	Status	New patients
America Cares Trust, Inc		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Pediatric Nurse Practitioner	363LP0200X	21115	TN	Yes

Addresses

Primary practice location

365 S Hartmann Dr
Suite 106
Lebanon, TN 37087-4787

Mailing address

365 S Hartmann Dr
Suite 106
Lebanon, TN 37087-4787
Phone (615) 288-0075

Other providers in Lebanon, TN

All providers in Lebanon, TN · Pediatric Nurse Practitioner in Tennessee

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 11, 2016. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.