Active NPI
Alisha Mackie, RNFA, CNOR
- Registered Nurse First Assistant
- Rock Springs, WY
National Provider Identifier
1134627227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse First Assistant
- License
- 32131
- Practice address
- 1200 College Dr
Rock Springs, WY 82901-5868 - Phone
- (307) 362-3711
- NPI assigned
- Jan 24, 2018
- 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 |
|---|---|---|---|---|
| Registered Nurse First Assistant | 163WR0006X | 32131 | WY | Primary |
Addresses
Primary practice location
1200 College Dr
Rock Springs, WY 82901-5868
Mailing address
350 Via Rucce Dr
Rock Springs, WY 82901-7760
Phone (307) 389-2792
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32131 | WY | MD | Registered Nurse First Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548288000000",
"number": "1134627227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 VIA RUCCE DR",
"city": "ROCK SPRINGS",
"state": "WY",
"postal_code": "829017760",
"telephone_number": "307-389-2792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 COLLEGE DR",
"city": "ROCK SPRINGS",
"state": "WY",
"postal_code": "829015868",
"telephone_number": "307-362-3711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACKIE",
"first_name": "ALISHA",
"credential": "RNFA, CNOR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-01-24",
"last_updated": "2019-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "163WR0006X",
"taxonomy_group": "",
"desc": "Registered Nurse, Registered Nurse First Assistant",
"state": "WY",
"license": "32131",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rock Springs, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.