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ALICE PLACE MEDICAL CARE SERVICES
NPI 1710654900
Nurse Practitioner - Family in Grand Prairie, TX

Active since August 25, 2021
2719 LA JOLLA BLVD, GRAND PRAIRIE, TX 75054(469) 756-7021(469) 502-3622 Get Directions Write a Review

NPPES record last updated: December 28, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 28, 2021, Dec 13, 2021, Aug 27, 2021 (3 updates tracked since 2021).

About Alice Place Medical Care Services NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALICE PLACE MEDICAL CARE SERVICES (NPI 1710654900) is a healthcare organization registered as a family in Grand Prairie, Texas and active in the NPI registry since August 2021. The organization lists Monnie E Adereti, Ceo, as its authorized official.

NPPES Registry Identity

NPI1710654900
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameALICE PLACE MEDICAL CARE SERVICES
Location Address2719 LA JOLLA BLVDGrand Prairie, TX 75054-0299
Mailing Address2719 La Jolla BlvdGrand Prairie, TX 75054-0299 · (469) 756-7021 · Fax (469) 502-3622
Phone(469) 756-7021
Fax(469) 502-3622
Organization SubpartNo
Authorized OfficialMonnie E AderetiCeo · (469) 756-7021
Enumeration DateAugust 25, 2021
Last NPPES UpdateDecember 28, 20213 updates tracked since enumeration
NPPES CertifiedDecember 28, 2021
✔ NPI 1710654900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
2719 LA JOLLA BLVD, Grand Prairie, TX 75054
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Other Identifiers 1

Medicaid370763001TX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include WellPoint.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alice Place Medical Care Services's NPI number?

The NPI number for Alice Place Medical Care Services is 1710654900. It was assigned to this organization in the NPPES registry on August 25, 2021.

Where is Alice Place Medical Care Services located?

Alice Place Medical Care Services is located at 2719 La Jolla Blvd, Grand Prairie, TX 75054. The listed phone number is (469) 756-7021.

What is Alice Place Medical Care Services's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

What insurance does Alice Place Medical Care Services accept?

Health plans from WellPoint list Alice Place Medical Care Services as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Alice Place Medical Care Services was last updated on December 28, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.