Individual provider Active NPI

Alison Iverson, NP

  • Family Nurse Practitioner
  • Show Low, AZ
National Provider Identifier
1003570128
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
263636 Issued in AZ
Practice address
2650 E Show Low Lake Rd Ste 1
Show Low, AZ 85901-7955
Phone
(928) 537-4300
Fax
(928) 537-4320
NPI assigned
Oct 25, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 263636 AZ Primary

Addresses

Primary practice location

2650 E Show Low Lake Rd Ste 1
Show Low, AZ 85901-7955

Mailing address

PO Box 3630
Flagstaff, AZ 86003-3630
Phone (928) 522-9879

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20211203001155 AZ Practitioner - Nurse Practitioner 8022408103 Reassigns benefits to 4 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Country Healthcare, Inc. CurrentSince Nov 5, 2024 Accepting new patients
North Country Healthcare, Inc. CurrentSince Nov 5, 2024 Accepting new patients
Partners in Recovery, LLC CurrentSince Dec 10, 2023 Accepting new patients
North Country Healthcare, Inc. Current Accepting new patients
Byrd Family Medical Center, LLC CurrentSince Jun 6, 2022 Accepting new patients
Partners in Recovery, LLC CurrentSince Dec 10, 2023 Accepting new patients
North Country Healthcare, Inc. Current Accepting new patients
North Country Healthcare, Inc. Past Accepting new patients

Locations

2109 Navajo Blvd
Holbrook, AZ 86025
Phone (928) 213-6100

924 N Country Club Dr
Mesa, AZ 85201
Phone (480) 696-3800

14100 N 83rd Ave
Ste 100
Peoria, AZ 85381
Phone (623) 583-0232

10240 N 31st Ave
Ste 200
Phoenix, AZ 85051
Phone (602) 395-1700

2650 E Show Low Lake Rd
Ste 1
Show Low, AZ 85901
Phone (928) 537-4300

620 Lee St
Winslow, AZ 86047
Phone (928) 288-8700

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19300/brand/3/csg/2/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/20952/brand/1/csg/1/fhir/r4

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1635120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1003570128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3630",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860033630",
            "telephone_number": "928-522-9879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 E SHOW LOW LAKE RD STE 1",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859017955",
            "telephone_number": "928-537-4300",
            "fax_number": "928-537-4320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IVERSON",
        "first_name": "ALISON",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-25",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "263636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Show Low, AZ

Sources for this page

Verify at the official NPI Registry.