Individual provider Active NPI

Carol L Alley, MD

  • Family Medicine Physician
  • Carson City, NV
National Provider Identifier
1003879693
Registry record updated Jul 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
17636 Issued in NV
Practice address
3991 County Line Rd
Carson City, NV 89703-9502
Phone
(775) 378-8745
NPI assigned
Apr 6, 2006
Last updated
Jul 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 17636 NV Primary
Family Medicine Physician 207Q00000X 3823 AK

Addresses

Primary practice location

3991 County Line Rd
Carson City, NV 89703-9502

Mailing address

3991 County Line Rd
Carson City, NV 89703-9502
Phone (775) 378-8745

Other practice location 1

445 Haleb Ct
Reno, NV 89521
Phone (907) 617-3178

Other practice location 2

320 Bawden St Apt 313
Ketchikan, AK 99901-6544
Phone (907) 220-9982

Other identifiers 2

IdentifierTypeStateIssuer
17636OtherNVNEVADA STATE MEDICAL EXAMINER
MD0108MedicaidAK

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090910000381 TX Practitioner - Family PracticePractitioner - General Practice 8426103714 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
17636NVMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Alaska Regional Health Consortium CurrentSince Oct 8, 2024 Accepting new patients
Southeast Alaska Regional Health Consortium Current Accepting new patients
Southeast Alaska Regional Health Consortium CurrentSince Oct 8, 2024 Accepting new patients
Nevada Health Centers Inc Past Accepting new patients
Desert Springs Hospital Past Accepting new patients
Washoe Barton Medical Clinic a Nevada Nonprofit Corporation Past Accepting new patients
Dignity Health Past Accepting new patients
Creekside Family Health Clinic Inc Family Medicine PastSince May 7, 2016 Accepting new patients
Centennial Hills Hospital Medical Center Past Accepting new patients
South East Alaska Regional Health Consortium Past Accepting new patients
Sparks Family Hospital Inc Past Accepting new patients
University Medical Center of Southern Nevada Past Accepting new patients
Power of Wellness Health Services LLC PastSince Aug 1, 2019 Accepting new patients
Prime Healthcare Services - Reno LLC Past Accepting new patients
Mt Grant General Hospital Past Accepting new patients
Sunrise Mountainview Hospital, Inc. Past Accepting new patients

Locations

3100 Channel Dr
Ste 300
Juneau, AK 99801
Phone (907) 463-4000

222 Tongass Dr
Sitka, AK 99835
Phone (907) 966-8519

Interoperability endpoints

  • Direct secure messaging: carol.alley.p1@direct.nevadahealthcenters.nextgenshare.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 16

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1003879693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3991 COUNTY LINE RD",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897039502",
            "telephone_number": "775-378-8745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3991 COUNTY LINE RD",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897039502",
            "telephone_number": "775-378-8745"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "445 Haleb Ct",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "89521",
            "country_code": "US",
            "telephone_number": "907-617-3178",
            "fax_number": "775-201-5682",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "320 Bawden St Apt 313",
            "address_purpose": "LOCATION",
            "city": "Ketchikan",
            "state": "AK",
            "postal_code": "999016544",
            "country_code": "US",
            "telephone_number": "907-220-9982",
            "fax_number": "907-220-9972",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALLEY",
        "first_name": "CAROL",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-06",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "17636",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AK",
            "license": "3823",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEVADA STATE MEDICAL EXAMINER",
            "identifier": "17636",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD0108",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carson City, NV

Sources for this page

Verify at the official NPI Registry.