Individual provider Active NPI

Tina Alino

  • Gerontology Nurse Practitioner
  • Wylie, TX
National Provider Identifier
1881461234
Registry record updated Dec 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
1139814 Issued in TX
Practice address
3308 Amber Waves LN
Wylie, TX 75098-1217
Phone
(501) 541-6834
NPI assigned
Dec 6, 2023
Last updated
Dec 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 1139814 TX Primary

Addresses

Primary practice location

3308 Amber Waves LN
Wylie, TX 75098-1217

Mailing address

3308 Amber Waves LN
Wylie, TX 75098-1217
Phone (501) 541-6834

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
I20241016002944 TX Practitioner - Nurse Practitioner 6002348976 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1139814TXMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Reliant Health, Inc. CurrentSince Aug 29, 2024 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Aug 1, 2025 Accepting new patients

Locations

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

3600 Conflans Rd
Ste 200
Irving, TX 75061
Phone (972) 262-2260

Interoperability endpoints

  • Direct secure messaging: tina.alino.1@8326.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1701820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701820800000",
    "number": "1881461234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3308 AMBER WAVES LN",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750981217",
            "telephone_number": "501-541-6834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3308 AMBER WAVES LN",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750981217",
            "telephone_number": "501-541-6834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALINO",
        "first_name": "TINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-06",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "1139814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wylie, TX

Sources for this page

Verify at the official NPI Registry.