NPIMap

Organization Active NPI

Nurse Practitioner Alliance LLC

  • Adult Health Nurse Practitioner
  • Mount Gilead, OH
National Provider Identifier
1063704203
Registry record updated May 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
11665 Issued in OH
Legal business name
NURSE PRACTITIONER ALLIANCE LLC
Practice address
7326 State Route 19
Unit 5416
Mount Gilead, OH 43338-9354
Phone
(419) 528-9333
NPI assigned
May 5, 2011
Last updated
May 2, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2012

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

Authorized official

Name
Mrs. Donna Fay Pierce, NP
Title
Cfo
Phone
(419) 528-9333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 11665 OH Primary

Addresses

Primary practice location

7326 State Route 19
Unit 5416
Mount Gilead, OH 43338-9354

Mailing address

7326 State Route 19 Unit 5416
Mount Gilead, OH 43338-9349
Phone (419) 528-9333

Other identifiers 1

IdentifierTypeStateIssuer
9395201OtherOHMEDICARE PTAN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1304553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335916800000",
    "number": "1063704203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7326 STATE ROUTE 19 UNIT 5416",
            "city": "MOUNT GILEAD",
            "state": "OH",
            "postal_code": "433389349",
            "telephone_number": "419-528-9333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7326 STATE ROUTE 19",
            "address_2": "UNIT 5416",
            "city": "MOUNT GILEAD",
            "state": "OH",
            "postal_code": "433389354",
            "telephone_number": "419-528-9333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NURSE PRACTITIONER ALLIANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-05",
        "last_updated": "2012-05-02",
        "status": "A",
        "authorized_official_last_name": "PIERCE",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "FAY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "419-528-9333",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "11665",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "9395201",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Gilead, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2012; 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.