Individual provider Active NPI

Alexis Zolan Glover, CPNP-PC

  • Pediatric Nurse Practitioner
  • Pearland, TX
National Provider Identifier
1902516016
Registry record updated Sep 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
1099755 Issued in TX
Practice address
8540 Broadway St Ste 205
Pearland, TX 77584-7710
Phone
(832) 582-7146
NPI assigned
Nov 29, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2025

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 1099755 TX Primary

Addresses

Primary practice location

8540 Broadway St Ste 205
Pearland, TX 77584-7710

Mailing address

11811 Flushing Meadows Dr
Houston, TX 77089-6108

Other practice location 1

7900 Fannin St Ste 1400
Houston, TX 77054-2950
Phone (832) 582-7146

Other practice location 2

2813 Smith Ranch Rd
Pearland, TX 77584-5254
Phone (832) 582-7146

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
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1099755TXMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Maeville Pediatrics PLLC CurrentSince Dec 6, 2022 Accepting new patients

Locations

7900 Fannin St
Ste 1400
Houston, TX 77054
Phone (832) 582-7146

8540 Broadway St
Ste 205
Pearland, TX 77584
Phone (832) 582-7146

2813 Smith Ranch Rd
Pearland, TX 77584
Phone (713) 436-8166

Interoperability endpoints

  • FHIR API: https://epicproxy.et1326.epichosted.com/FHIRProxy/MHCC/api/FHIR/R4
  • Direct secure messaging: aglover147746@memorialhermann.direct-ci.com

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": "1669680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757635200000",
    "number": "1902516016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11811 FLUSHING MEADOWS DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770896108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8540 BROADWAY ST STE 205",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775847710",
            "telephone_number": "832-582-7146"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7900 Fannin St Ste 1400",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770542950",
            "country_code": "US",
            "telephone_number": "832-582-7146",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2813 Smith Ranch Rd",
            "address_purpose": "LOCATION",
            "city": "Pearland",
            "state": "TX",
            "postal_code": "775845254",
            "country_code": "US",
            "telephone_number": "832-582-7146",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLOVER",
        "first_name": "ALEXIS",
        "middle_name": "ZOLAN",
        "credential": "CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-29",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "1099755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2025; 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.