Alisa Niehuser

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY60423677 Issued in WA

Practice address

786 D Street
Jber, AK 99505

Phone

(907) 384-0405

NPI assigned

Dec 9, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1228780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572912000000",
    "number": "1023253705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 GAFFNEY RD STOP 7440",
            "city": "FT WAINWRIGHT",
            "state": "AK",
            "postal_code": "997035007",
            "telephone_number": "907-361-5603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "786 D STREET",
            "city": "JBER",
            "state": "AK",
            "postal_code": "99505",
            "telephone_number": "907-384-0405"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "511 SW 10th Ave",
            "address_2": "#400",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972052732",
            "country_code": "US",
            "telephone_number": "503-352-2400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1201 N Muldoon Rd",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "995046104",
            "country_code": "US",
            "telephone_number": "907-257-4854",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIEHUSER",
        "first_name": "ALISA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-09",
        "last_updated": "2019-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY60423677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony V Murphy, MPAS
• Stephanie M Musselman, LCSW
• Rae H Nakayama, PHARMD
• Clell Lee Neighbors, LAC, LCSW
• Jeffrey A Newsom, O.D.
• Michael Niemi, PA-C
• Charles Daniel Northcutt, DDS
• Kristin Michelle Nosek, LCSW
• Donovan Chan Nourn, DO
• Pamela Langley Novy, PH.D.

• Clinical Psychologist in Jber, AK
• Providers in Jber, AK by specialty
• Clinical Psychologist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.