Trace Lawrence Alexander, FNP,DC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP126290 Issued in TX

Practice address

5425 W Spring Creek Pkwy Ste 115
Plano, TX 75024-4333

Phone

(972) 899-9797

Fax

(469) 771-0268

NPI assigned

Jun 24, 2005

Last updated

Jul 24, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in TX2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tlahealthservices.tracealexander@140507.advancedmd-direct.com

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.

• Tla Health Services

  dba Legacy Pain and Regenerative Medicine

  • Family Nurse Practitioner
  • Plano, TX
  • NPI 1275924680

  Chiropractor

  Medicare reassignment NPD Authorized official
• Bone & Spine Specialists

  dba Alexander Chiropractic and Sports Rehab

  • Chiropractor
  • Plano, TX
  • NPI 1407096340
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1119571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595548800000",
    "number": "1952307845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 118917",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750118917",
            "telephone_number": "972-899-9797",
            "fax_number": "469-771-0268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5425 W SPRING CREEK PKWY STE 115",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750244333",
            "telephone_number": "972-899-9797",
            "fax_number": "469-771-0268"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16633 Dallas Pkwy Ste 150",
            "address_purpose": "LOCATION",
            "city": "Addison",
            "state": "TX",
            "postal_code": "750016812",
            "country_code": "US",
            "telephone_number": "972-899-9797",
            "fax_number": "469-771-0268",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALEXANDER",
        "first_name": "TRACE",
        "middle_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "credential": "FNP,DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-24",
        "last_updated": "2020-07-24",
        "certification_date": "2020-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP126290",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "6832DC",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN PLANO (FNP)",
            "identifier": "504136",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN ADDISON (FNP)",
            "identifier": "504135",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN (CHIRO)",
            "identifier": "OA371",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melodie R Alexander, LPC
• Michele Alexander, LPC
• Shea S. Alexander, M.A., LPC
• Sherry Catherine Alexander, D.D.S
• Tiffany Chanelle Alexander
• Michelle Lorraine Alexandre, ACNS-BC
• Alexis D. Jacob, M.D., P.L.L.C. (Vascular Associates of North Texas)
• Alfa Radiology Management Inc
• Italy Alfaro
• Melody Anne Alford

• Family Nurse Practitioner in Plano, TX
• Providers in Plano, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.