Individual provider Active NPI

Alexandra Isabel Quintanilla

  • Pediatrics Physician
  • Austin, TX
National Provider Identifier
1871026401
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
S6019 Issued in TX
Practice address
8913 Collinfield Dr Unit 1
Austin, TX 78758-6704
Phone
(877) 800-5722
NPI assigned
Apr 10, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Pediatrics Physician 208000000X S6019 TX Primary

Addresses

Primary practice location

8913 Collinfield Dr Unit 1
Austin, TX 78758-6704

Mailing address

2423 Williams Dr Ste 107
Georgetown, TX 78628-3269
Phone (877) 800-5722

Other practice location 1

3950 N A W Grimes Blvd Ste N201
Round Rock, TX 78665-3540
Phone (877) 800-5722

Other practice location 2

5808 Airline Dr
Houston, TX 77076-4923
Phone (713) 695-4013

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S6019TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lone Star Circle of Care Pediatrics Current Accepting new patients
Lone Star Circle of Care PastSince Feb 1, 2024 Accepting new patients
Houston Community Health Centers Inc Past Accepting new patients

Locations

8913 Collinfield Dr
Unit 1
Austin, TX 78758
Phone (512) 982-6954

11111 Research Blvd
Ste 295
Austin, TX 78759
Phone (512) 439-1003

2423 Williams Dr
Ste 103
Georgetown, TX 78628

205 E University Ave
Ste 200
Georgetown, TX 78626
Phone (512) 686-0207

2423 Williams Dr
Georgetown, TX 78628
Phone (512) 341-8908

2423 Williams Dr
Ste 107
Georgetown, TX 78628
Phone (512) 686-0207

3950 N A W Grimes Blvd
Ste N201
Round Rock, TX 78665
Phone (512) 524-9282

Interoperability endpoints

  • Direct secure messaging: alexandra.quintanilla.1@29821.direct.athenahealth.com
  • Direct secure messaging: alexandra.quintanilla.p1@direct.lscctx.nextgenshare.com

Organizations & group practices 3

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": "1491782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752624000000",
    "number": "1871026401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2423 WILLIAMS DR STE 107",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786283269",
            "telephone_number": "877-800-5722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8913 COLLINFIELD DR UNIT 1",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787586704",
            "telephone_number": "877-800-5722"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3950 N A W Grimes Blvd Ste N201",
            "address_purpose": "LOCATION",
            "city": "Round Rock",
            "state": "TX",
            "postal_code": "786653540",
            "country_code": "US",
            "telephone_number": "877-800-5722",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5808 Airline Dr",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770764923",
            "country_code": "US",
            "telephone_number": "713-695-4013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUINTANILLA",
        "first_name": "ALEXANDRA",
        "middle_name": "ISABEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-10",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "S6019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.