Active NPI
Alicia M Earley, FNP
- Nurse Practitioner
- Cave Creek, AZ
National Provider Identifier
1053626648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP10424
- Practice address
- 30845 N Cave Creek Rd Ste 101
Cave Creek, AZ 85331-2916 - Phone
- (480) 488-9220
- Fax
- (480) 488-7014
- NPI assigned
- Aug 9, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AP10424 | AZ | Primary |
Addresses
Primary practice location
30845 N Cave Creek Rd Ste 101
Cave Creek, AZ 85331-2916
Mailing address
PO Box 35380
Las Vegas, NV 89133-5380
Phone (702) 579-3202
Other names 1
- Alicia M. Johnson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
- Opted out of Medicare
- Yes, effective Apr 1, 2026 through Apr 1, 2028
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of Massachusetts Medical School, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
32818 N 40TH PL
Cave Creek, AZ 85331-5081
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 336473 | NY | MD | Licensed Practical Nurse |
Interoperability endpoints
- aearley113589@westdirect.optum.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731974400000",
"number": "1053626648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 35380",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891335380",
"telephone_number": "702-579-3202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30845 N CAVE CREEK RD STE 101",
"city": "CAVE CREEK",
"state": "AZ",
"postal_code": "853312916",
"telephone_number": "480-488-9220",
"fax_number": "480-488-7014"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EARLEY",
"first_name": "ALICIA",
"middle_name": "M",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-09",
"last_updated": "2024-11-19",
"certification_date": "2024-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AZ",
"license": "AP10424",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ALICIA",
"last_name": "JOHNSON",
"middle_name": "M.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Cave Creek, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.