| Alexandra Dionne Kittrell, APRN, MSN, CNM | |
|
825 Medical Dr Ste A, Tyler, TX 75701-2143 | |
| (903) 758-2610 | |
| (903) 758-7081 |
| Full Name | Alexandra Dionne Kittrell |
|---|---|
| Gender | Female |
| Speciality | Advanced Practice Midwife |
| Location | 825 Medical Dr Ste A, Tyler, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801134085 | NPI | - | NPPES |
| 345740604 | Medicaid | TX | |
| P02469245 | Other | TX | MEDICARE RAIL ROAD |
| 1A5255 | Other | TX | MEDICARE |
| 8MD940 | Other | TX | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | AP123277 (Texas) | Primary |
| Entity Name | Utmb Faculty Group Practice |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942241146 PECOS PAC ID: 3375456734 Enrollment ID: O20031112000438 |
| Entity Name | Christus Trinity Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285684225 PECOS PAC ID: 3072426741 Enrollment ID: O20031204001091 |
| Entity Name | Special Health Resources For Texas, Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043209919 PECOS PAC ID: 1355326158 Enrollment ID: O20040623001434 |
| Entity Name | Longview Wellness Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942269493 PECOS PAC ID: 1254367766 Enrollment ID: O20050714001046 |
| Mailing Address | Practice Location Address |
|---|---|
| Alexandra Dionne Kittrell, APRN, MSN, CNM 1107 E Marshall Ave, Longview, TX 75601-5602 Ph: (903) 758-2610 | Alexandra Dionne Kittrell, APRN, MSN, CNM 825 Medical Dr Ste A, Tyler, TX 75701-2143 Ph: (903) 758-2610 |
Toni Richey, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 2231 W Gentry Pkwy, Tyler, TX 75702 Phone: 903-535-9041 Fax: 903-787-5098 | |
Joyce Daniel, Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 928 N Glenwood Blvd, Tyler, TX 75702 Phone: 903-535-9041 | |
Mrs. Marissa Ann Kuykendall, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 928 N Glenwood Blvd, Tyler, TX 75702 Phone: 903-535-9041 |