Active NPI
Alisha Colleen Halverson, DNP, CNM, ARNP
- Advanced Practice Midwife
- Renton, WA
National Provider Identifier
1053715169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- AP60515716
- Practice address
- 4300 Talbot Rd S
Renton, WA 98055-6238 - Phone
- (425) 207-8769
- Fax
- (833) 434-1353
- NPI assigned
- Oct 17, 2014
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | AP60515716 | WA | |
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | AP60515716 | WA | |
| Advanced Practice Midwife | 367A00000X | AP60515716 | WA | Primary |
Addresses
Primary practice location
4300 Talbot Rd S
Renton, WA 98055-6238
Mailing address
521 Bullfrog Rd
Friday Harbor, WA 98250-8276
Phone (425) 891-2914
Other names 1
- Dr. Alisha Halverson Wilkes
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP60515716 | WA | MD | Advanced Practice Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713916800000",
"number": "1053715169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "521 BULLFROG RD",
"city": "FRIDAY HARBOR",
"state": "WA",
"postal_code": "982508276",
"telephone_number": "425-891-2914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4300 TALBOT RD S",
"city": "RENTON",
"state": "WA",
"postal_code": "980556238",
"telephone_number": "425-207-8769",
"fax_number": "833-434-1353"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALVERSON",
"first_name": "ALISHA",
"middle_name": "COLLEEN",
"name_prefix": "Dr.",
"credential": "DNP, CNM, ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-17",
"last_updated": "2024-04-24",
"certification_date": "2024-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "WA",
"license": "AP60515716",
"primary": false
},
{
"code": "363LX0001X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "WA",
"license": "AP60515716",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "WA",
"license": "AP60515716",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ALISHA",
"last_name": "WILKES",
"middle_name": "HALVERSON",
"prefix": "DR.",
"credential": "DNP,CNM,ARNP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Renton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.