Active NPI
Alexandra J Hartke
- Adult Health Nurse Practitioner
- Frisco, TX
National Provider Identifier
1992283790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- AP138315
- Practice address
- 5550 Warren Pkwy Ste 110
Frisco, TX 75034-7399 - Phone
- (469) 252-4777
- Fax
- (469) 518-2156
- NPI assigned
- Aug 2, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | AP138315 | TX | Primary |
Addresses
Primary practice location
5550 Warren Pkwy Ste 110
Frisco, TX 75034-7399
Mailing address
5550 Warren Pkwy Ste 110
Frisco, TX 75034-7399
Phone (469) 252-4777
Other practice location 1
3805 Hawick Ln
Dallas, TX 75220-5016
Phone (419) 852-3494
Other practice location 2
6020 W Parker Rd
Plano, TX 75093-8171
Phone (469) 252-4777
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AP138315 | Other | TX | TEXAS BON |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP138315 | TX | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regen Pain Management, PLLC | Current | Accepting new patients | |
| Regen Pain Management, PLLC | Current | Accepting new patients | |
| United Ancillaries, PLLC | Past | Accepting new patients |
Locations
5550 Warren Pkwy
Ste 110
Frisco, TX 75034
Phone (214) 440-1245
6020 W Parker Rd
Ste 300
Plano, TX 75093
Phone (469) 200-6461
Organizations & group practices 3
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.
-
- Pain Medicine (Anesthesiology) Physician
- Plano, TX
- NPI 1699122101
-
- Durable Medical Equipment & Medical Supplies
- Plano, TX
- NPI 1104481233
-
- Anesthesiology Physician
- Frisco, TX
- NPI 1780132423
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593043200000",
"number": "1992283790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5550 WARREN PKWY STE 110",
"city": "FRISCO",
"state": "TX",
"postal_code": "750347399",
"telephone_number": "469-252-4777",
"fax_number": "469-518-2156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5550 WARREN PKWY STE 110",
"city": "FRISCO",
"state": "TX",
"postal_code": "750347399",
"telephone_number": "469-252-4777",
"fax_number": "469-518-2156"
}
],
"practiceLocations": [
{
"address_1": "3805 Hawick Ln",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752205016",
"country_code": "US",
"telephone_number": "419-852-3494",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6020 W Parker Rd",
"address_purpose": "LOCATION",
"city": "Plano",
"state": "TX",
"postal_code": "750938171",
"country_code": "US",
"telephone_number": "469-252-4777",
"fax_number": "469-518-2156",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HARTKE",
"first_name": "ALEXANDRA",
"middle_name": "J",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-08-02",
"last_updated": "2020-06-25",
"certification_date": "2020-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "TX",
"license": "AP138315",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS BON",
"identifier": "AP138315",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Frisco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.