Carol L Alley, MD
Individual provider Active NPI Family Medicine Physician · Carson City, NV
NPI 1003879693 · NPPES record last updated Jul 27, 2023
Key facts
- NPI
- 1003879693
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 17636 (NV)
- Practice address
- 3991 County Line Rd
Carson City, NV 89703-9502 - Phone
- (775) 378-8745
- NPI assigned
- Apr 6, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 16
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090910000381 | TX | Practitioner - Family Practice |
8426103714 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17636 | NV | MD | Family Medicine Physician |
Practice roles
Locations
3100 Channel Dr
Ste 300
Juneau, AK 99801
Phone (907) 463-4000
222 Tongass Dr
Sitka, AK 99835
Phone (907) 966-8423
Interoperability endpoints
- carol.alley.p1@direct.nevadahealthcenters.nextgenshare.com
- https://fhir.meditouchehr.com/api/fhir/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 3823 | AK | |
| Family Medicine Physician | 207Q00000X | 17636 | NV | Yes |
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 17636 | Other | NV | NEVADA STATE MEDICAL EXAMINER |
| MD0108 | Medicaid | AK |
Other providers in Carson City, NV
- David Allen
- Juliana Allen
- Sara Ann Allen
- Ta Lisa Nicole Allen
- Alleviate Supply
- Ricardo Ramirez Almaguer
- Michael G Almaraz
- Alpenglowridge Solutions, LTD.
- Carrie Alt
- Sandra Jill Althaus
All providers in Carson City, NV · Family Medicine Physician in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 27, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.