Individual provider Active NPI

Alisha Michelle Tew, CMA, CNA, PA

  • Home Health Aide
  • Idaho Falls, ID
National Provider Identifier
1053977926
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
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

Updated by the provider on Jun 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health AideGroup: 193200000X MULTI-SPECIALTY GROUP 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 Former name

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.

Verify at the official NPI Registry.