Individual provider Active NPI

Alisha Rae Everett, FNP-C

  • Nurse Practitioner
  • Tyler, TX
National Provider Identifier
1043751464
Registry record updated Nov 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP133304 Issued in TX
Practice address
11937 US Highway 271
Tyler, TX 75708-3154
Phone
(903) 877-8773
NPI assigned
Mar 17, 2017
Last updated
Nov 10, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP133304 TX Primary
Family Nurse Practitioner 363LF0000X AP133304 TX

Addresses

Primary practice location

11937 US Highway 271
Tyler, TX 75708-3154

Mailing address

223 Jordan TRL
Longview, TX 75605-3447
Phone (903) 746-9453

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, IA, AL3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20170425000899 TX Practitioner - Nurse Practitioner 5496031676 Reassigns benefits to 4 organizations
I20210201001619 IA Practitioner - Nurse Practitioner 5496031676 Reassigns benefits to 1 organization
I20211215000458 AL Practitioner - Nurse Practitioner 5496031676 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christus Trinity Clinic TexasGroup PAC ID 3072426741, 1,540 clinicians

Practice addresses (Care Compare)

2101 W Loop
Longview, TX 75604-2506

620 S Fleishel Ave
Christus Trinity Clinic
Tyler, TX 75701-2041
Phone (903) 606-4900

630 S Fleishel Ave
Tyler, TX 75701-2041
Phone (903) 606-5560

PO Box
Suite 846098
Dallas, TX 75284-6098

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP133304TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
QV Urgent Care Ia PLLC CurrentSince Dec 15, 2020 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Jul 1, 2017 Accepting new patients
QV Urgent Care Ia PLLC CurrentSince Dec 15, 2020 Accepting new patients
Southern Immediate Care, LLC CurrentSince Nov 9, 2021 Accepting new patients
QV Urgent Care TX PLLC CurrentSince Apr 25, 2020 Accepting new patients
QV Urgent Care TX PLLC CurrentSince Apr 25, 2020 Accepting new patients
Mother Frances Hospital Regional Health Care Center CurrentSince Mar 1, 2020 Accepting new patients
Keel and Associates CurrentSince Nov 9, 2021 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Jul 1, 2017 Accepting new patients
Mother Frances Hospital Jacksonville CurrentSince Mar 1, 2020 Accepting new patients
Peak Health and Wellness, PLLC PastSince Aug 1, 2021 Accepting new patients

Locations

4100 McClellan Blvd
Anniston, AL 36201
Phone (256) 235-2273

956 Gilbert Ferry Rd SE
Attalla, AL 35954
Phone (256) 344-0065

801 N Grand Ave
Mt Pleasant, IA 52641
Phone (319) 984-4775

1600 Broadway Ave
Gladewater, TX 75647
Phone (903) 315-5630

1600 US Highway 79 S
Henderson, TX 75654
Phone (903) 657-9571

2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500

2101 W Loop 281
Longview, TX 75604
Phone (903) 315-4180

705 E Marshall Ave
Ste 1002
Longview, TX 75601
Phone (903) 247-7700

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

800 E Dawson St
Tyler, TX 75701
Phone (903) 531-5018

Interoperability endpoints

  • Direct secure messaging: aeverett150092@christushealth.direct-ci.net
  • FHIR API: https://api.platform.athenahealth.com/17814/brand/1/csg/1/fhir/r4

Organizations & group practices 11

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1489708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668038400000",
    "number": "1043751464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 JORDAN TRL",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756053447",
            "telephone_number": "903-746-9453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11937 US HIGHWAY 271",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757083154",
            "telephone_number": "903-877-8773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVERETT",
        "first_name": "ALISHA",
        "middle_name": "RAE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-17",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP133304",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP133304",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

Verify at the official NPI Registry.