Individual provider Active NPI

Alysia S Nelon

  • Licensed Practical Nurse
  • Anchorage, AK
National Provider Identifier
1144706458
Registry record updated Aug 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
132302 Issued in AK
Practice address
3400 W 86TH Ave Apt 18B
Anchorage, AK 99502-7405
Phone
(253) 315-0727
NPI assigned
Jul 19, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 132302 AK Primary

Addresses

Primary practice location

3400 W 86TH Ave Apt 18B
Anchorage, AK 99502-7405

Mailing address

670 W Fireweed LN Ste 160
Anchorage, AK 99503-2561
Phone (907) 770-0862

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

LicenseStateTypeSpecialty
132302AKMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1531958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692230400000",
    "number": "1144706458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 W FIREWEED LN STE 160",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995032561",
            "telephone_number": "907-770-0862",
            "fax_number": "844-845-1120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 W 86TH AVE APT 18B",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995027405",
            "telephone_number": "253-315-0727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELON",
        "first_name": "ALYSIA",
        "middle_name": "S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-19",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "AK",
            "license": "132302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2023; 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.