Individual provider Active NPI

Elizabeth Mary Alexander, N.P.

  • Family Nurse Practitioner
  • Pflugerville, TX
National Provider Identifier
1962858233
Registry record updated Aug 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP130791 Issued in TX
Practice address
305 N Heatherwilde Blvd
Suite 300
Pflugerville, TX 78660-3757
Phone
(877) 637-8387
NPI assigned
May 5, 2016
Last updated
Aug 23, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP130791 TX Primary
Family Nurse Practitioner 363LF0000X RN216412 GA

Addresses

Primary practice location

305 N Heatherwilde Blvd
Suite 300
Pflugerville, TX 78660-3757

Mailing address

59 Kirby St
Fort Rucker, AL 36362-2237
Phone (512) 786-1241

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20230124001306 GA Practitioner - Nurse Practitioner 5395031314

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1462406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471910400000",
    "number": "1962858233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 KIRBY ST",
            "city": "FORT RUCKER",
            "state": "AL",
            "postal_code": "363622237",
            "telephone_number": "512-786-1241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 N HEATHERWILDE BLVD",
            "address_2": "SUITE 300",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786603757",
            "telephone_number": "877-637-8387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEXANDER",
        "first_name": "ELIZABETH",
        "middle_name": "MARY",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-05",
        "last_updated": "2016-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP130791",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN216412",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pflugerville, TX

Sources for this page

Verify at the official NPI Registry.