ALEXIS VAN PELT - NPI 1710833363 - Student in an Organized Health Care Education/Training Program in Fort Worth, TX

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

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About Alexis Van Pelt NPPES

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

ALEXIS VAN PELT (NPI 1710833363) is an individual student in an organized health care education/training program in Fort Worth, Texas and active in the NPI registry since March 2026.

NPPES Registry Identity

NPI1710833363

Entity TypeIndividual

Primary Taxonomy390200000X

Provider Legal NameALEXIS VAN PELT

Location Address3500 CAMP BOWIE BLVDFort Worth, TX 76107-2644

Mailing Address900 Cinema Dr Apt 2329Hudson Oaks, TX 76087-2251 · (918) 645-7054

Phone(817) 735-2000

Sole ProprietorNo

Enumeration DateMarch 6, 2026

NPPES CertifiedMarch 6, 2026

✔ NPI 1710833363 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

3500 CAMP BOWIE BLVD, Fort Worth, TX 76107

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