Individual provider Active NPI

Alina Anna Cherian, APRN, CPNP-PC

  • Pediatric Nurse Practitioner
  • Lewisville, TX
National Provider Identifier
1861273203
Registry record updated Feb 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
1016294 Issued in TX
Practice address
502 S Old Orchard LN Ste 126
Lewisville, TX 75067-4374
Phone
(972) 436-7962
NPI assigned
Oct 11, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 1016294 TX Primary

Addresses

Primary practice location

502 S Old Orchard LN Ste 126
Lewisville, TX 75067-4374

Mailing address

3117 Sondra Dr Apt 203
Fort Worth, TX 76107-7702
Phone (586) 215-5744

Other names 1

  • Alina Anna Varghese Other 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

State licenses

LicenseStateTypeSpecialty
1016294TXMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pediplace Pediatrics PastSince Oct 15, 2023 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1696982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707868800000",
    "number": "1861273203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3117 SONDRA DR APT 203",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761077702",
            "telephone_number": "586-215-5744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 S OLD ORCHARD LN STE 126",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750674374",
            "telephone_number": "972-436-7962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHERIAN",
        "first_name": "ALINA",
        "middle_name": "ANNA",
        "credential": "APRN, CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-11",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "1016294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALINA",
            "last_name": "VARGHESE",
            "middle_name": "ANNA",
            "credential": "APRN, CPNP-PC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lewisville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2024; 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.