Individual provider Active NPI

Alexandra Nicole Hembree, APRN

  • Nurse Practitioner
  • Tyler, TX
National Provider Identifier
1881210656
Registry record updated Nov 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP143370 Issued in TX
Practice address
1128 Medical Dr
Tyler, TX 75701-2109
Phone
(903) 593-8273
Fax
(903) 595-0204
NPI assigned
Jun 17, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP143370 TX Primary

Addresses

Primary practice location

1128 Medical Dr
Tyler, TX 75701-2109

Mailing address

PO Box 603725
Charlotte, NC 28260-3725
Phone (828) 575-2625

Other identifiers 2

IdentifierTypeStateIssuer
1881210656MedicaidTX
6A8923OtherTXMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231011000194 TX Practitioner - Nurse Practitioner 7113372160 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allergy Partners of Texas IncGroup PAC ID 0244486157, 22 clinicians

Practice addresses (Care Compare)

801 Medical Circle Dr
Suite a
Longview, TX 75605-5101
Phone (903) 753-6863

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP143370TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy Partners of Texas, Inc. CurrentSince Aug 1, 2023 Accepting new patients
Allergy Partners of Texas, Inc CurrentSince Aug 1, 2023 Accepting new patients
Allergy Partners of Texas, Inc. Past Accepting new patients
Carla J. Cole, DO, PA PastSince Jun 1, 2020 Accepting new patients
Garland Kids Clinic LLC PastSince Jun 1, 2020 Accepting new patients

Locations

760 N Shiloh Rd
Garland, TX 75042
Phone (972) 272-4463

801 Medical Cir
Ste A
Longview, TX 75605
Phone (903) 593-8273

1128 Medical Dr
Tyler, TX 75701
Phone (903) 593-8273

Organizations & group practices 5

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": "1592352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700179200000",
    "number": "1881210656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 603725",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282603725",
            "telephone_number": "828-575-2625",
            "fax_number": "828-350-2174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1128 MEDICAL DR",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757012109",
            "telephone_number": "903-593-8273",
            "fax_number": "903-595-0204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEMBREE",
        "first_name": "ALEXANDRA",
        "middle_name": "NICOLE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-17",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP143370",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1881210656",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "6A8923",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

Verify at the official NPI Registry.