Individual provider Active NPI

Alyson Leigh Redman, FNP-BC, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Kerrville, TX
National Provider Identifier
1114120680
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP115941 Issued in TX
Practice address
222 Sidney Baker St S Ste 500
Kerrville, TX 78028
Phone
(830) 895-7675
Fax
(830) 896-9340
NPI assigned
Jun 11, 2007
Last updated
Nov 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 681148 TX
Family Nurse Practitioner 363LF0000X AP115941 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP115941 TX Primary

Addresses

Primary practice location

222 Sidney Baker St S Ste 500
Kerrville, TX 78028

Mailing address

575 Hill Country Dr
Kerrville, TX 78028-6024
Phone (830) 258-7762

Other practice location 1

3022 Vanderbilt Pl
Nashville, TN 37212-2500
Phone (615) 393-3792

Other identifiers 1

IdentifierTypeStateIssuer
312187303MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, WA, FL3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20070905000352 TX Practitioner - Nurse Practitioner 9335232487 Reassigns benefits to 1 organization
I20231113001686 WA Practitioner - Nurse Practitioner 9335232487 Reassigns benefits to 2 organizations
I20240418003594 FL Practitioner - Nurse Practitioner 9335232487 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Community Health Centers IncGroup PAC ID 9931017126, shared by 15 NPIs, 32 clinicians

Practice addresses (Care Compare)

310 S Roosevelt St
Goldendale, WA 98620-9201
Phone (509) 486-2151

315 S W C Owen Ave
Clewiston, FL 33440-3637
Phone (863) 983-7813

317 Sanders Way
Goldendale, WA 98620-9059
Phone (509) 773-4017

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
681148TXMDFamily Nurse Practitioner
AP115941TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Garfield County Memorial Hospital District CurrentSince Sep 20, 2023 Accepting new patients
Garfield County Memorial Hospital District Current Accepting new patients
Florida Community Health Centers Inc Current Accepting new patients
Florida Community Health Centers Inc Current Accepting new patients
Florida Community Health Centers Inc CurrentSince Apr 9, 2024 Accepting new patients
Florida Community Health Centers, Inc. CurrentSince Apr 9, 2024 Accepting new patients
Neurology Institute of Kerrville PLLC CurrentSince Feb 24, 2022 Accepting new patients
Klickitat County Public Hospital District No 1 CurrentSince Nov 1, 2023 Accepting new patients
Mark P. Goldman, P.C. CurrentSince Jan 1, 2019 Accepting new patients
Dr Rogers Medical Group PA. CurrentSince Dec 6, 2021 Accepting new patients
Klickitat County Public Hospital District No 1 CurrentSince Nov 1, 2023 Accepting new patients
Florida Community Health Centers Inc Current Accepting new patients
Florida Community Health Centers Inc CurrentSince Apr 9, 2024 Accepting new patients

Locations

315 S W C Owen Ave
Clewiston, FL 33440
Phone (561) 996-9573

1505 Delaware Ave
Fort Pierce, FL 34950
Phone (772) 461-1140

15858 SW Warfield Blvd
Indiantown, FL 34956
Phone (772) 597-3596

1021 Health Park Dr
Moore Haven, FL 33471
Phone (863) 946-0405

1100 N Parrott Ave
Okeechobee, FL 34972
Phone (863) 763-1951

3235 SW Port St Lucie Blvd
Ste 105
Port St Lucie, FL 34953
Phone (772) 408-5063

5827 Corporate Way
West Palm Beach, FL 33407
Phone (561) 844-9443

1001 Water St
Ste J-200
Kerrville, TX 78028
Phone (210) 495-2117

222 Sidney Baker St S
Ste 500
Kerrville, TX 78028
Phone (830) 895-1840

24200 Ih 10 W
Ste 107
San Antonio, TX 78257
Phone (210) 495-2117

2838 N Loop 1604 E
Ste 104
San Antonio, TX 78232
Phone (210) 495-2117

5539 W Loop 1604 N
Ste 10
San Antonio, TX 78253
Phone (210) 403-9400

310 S Roosevelt St
Goldendale, WA 98620
Phone (509) 486-2151

317 Sanders Way
Goldendale, WA 98620
Phone (509) 773-4017

446 Pataha St
Pomeroy, WA 99347
Phone (503) 843-1491

66 N 6th St
Pomeroy, WA 99347
Phone (509) 843-1491

Interoperability endpoints

  • Direct secure messaging: alyson.redman.1@14865.direct.athenahealth.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/IAFGBD

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1114120680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 HILL COUNTRY DR",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780286024",
            "telephone_number": "830-258-7762",
            "fax_number": "830-258-7098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 SIDNEY BAKER ST S STE 500",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "78028",
            "telephone_number": "830-895-7675",
            "fax_number": "830-896-9340"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3022 Vanderbilt Pl",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372122500",
            "country_code": "US",
            "telephone_number": "615-393-3792",
            "fax_number": "615-334-0896",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REDMAN",
        "first_name": "ALYSON",
        "middle_name": "LEIGH",
        "credential": "FNP-BC, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-11",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "681148",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP115941",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP115941",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "312187303",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kerrville, TX

Sources for this page

Verify at the official NPI Registry.