Active NPI
Alisha Michelle Tew, CMA, CNA, PA
- Home Health Aide
- Idaho Falls, ID
National Provider Identifier
1053977926
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Practice address
- 3031 Chaparral Dr
Idaho Falls, ID 83404-7277 - Phone
- (208) 524-1614
- Fax
- (208) 970-6415
- NPI assigned
- May 15, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | ID | Primary |
Addresses
Primary practice location
3031 Chaparral Dr
Idaho Falls, ID 83404-7277
Mailing address
2785 N 5TH W
Idaho Falls, ID 83401-1157
Phone (208) 970-6415
Other practice location 1
2785 N 5th W
Idaho Falls, ID 83401-1157
Phone (208) 970-6415
Other practice location 2
12611 NE 99th St Apt Q109
Vancouver, WA 98682-2474
Phone (208) 970-6415
Other names 1
- Alisha Michelle Day
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 Medical Assistant, Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560211200000",
"number": "1053977926",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2785 N 5TH W",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834011157",
"telephone_number": "208-970-6415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3031 CHAPARRAL DR",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834047277",
"telephone_number": "208-524-1614",
"fax_number": "208-970-6415"
}
],
"practiceLocations": [
{
"address_1": "2785 N 5th W",
"address_purpose": "LOCATION",
"city": "Idaho Falls",
"state": "ID",
"postal_code": "834011157",
"country_code": "US",
"telephone_number": "208-970-6415",
"fax_number": "208-541-5800",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "12611 NE 99th St Apt Q109",
"address_purpose": "LOCATION",
"city": "Vancouver",
"state": "WA",
"postal_code": "986822474",
"country_code": "US",
"telephone_number": "208-970-6415",
"fax_number": "208-533-5474",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TEW",
"first_name": "ALISHA",
"middle_name": "MICHELLE",
"credential": "CMA, CNA, PA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-05-15",
"last_updated": "2019-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Home Health Aide",
"state": "ID",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ALISHA",
"last_name": "DAY",
"middle_name": "MICHELLE",
"credential": "CMA, CNA, PA , OT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Idaho Falls, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.