Individual provider Active NPI

Alisha Mae Colby-Timm, CNP

  • Family Nurse Practitioner
  • Alexandria, MN
National Provider Identifier
1154770998
Registry record updated Sep 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP 4554 Issued in MN
Practice address
1610 8TH Ave E
Alexandria, MN 56308
Phone
(320) 335-6201
NPI assigned
Jun 10, 2016
Last updated
Sep 4, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X F0616270 MN
Family Nurse Practitioner 363LF0000X CNP 4554 MN Primary

Addresses

Primary practice location

1610 8TH Ave E
Alexandria, MN 56308

Mailing address

1610 8TH Ave E
Alexandria, MN 56308-2472
Phone (320) 335-6201

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20171110002231 MN Practitioner - Nurse Practitioner 8729344528 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F0616270MNMDNurse Practitioner
CNP 4554MNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Glacial Ridge Hospital District CurrentSince Aug 13, 2017 Accepting new patients
Glacial Ridge Hospital District CurrentSince Aug 13, 2017 Accepting new patients
Community Behavioral Health Hospital Alexandria CurrentSince Oct 1, 2024 Accepting new patients
Glacial Ridge Hospital District Current Accepting new patients

Locations

1610 8th Ave E
Alexandria, MN 56308
Phone (320) 335-6201

111 Pleasant Ave N
Brooten, MN 56316
Phone (320) 346-2272

10 4th Ave SE
Glenwood, MN 56334
Phone (320) 634-5157

417 Franklin St S
Glenwood, MN 56334
Phone (320) 634-5157

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/glac-1755385c

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1465516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536019200000",
    "number": "1154770998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 8TH AVE E",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "563082472",
            "telephone_number": "320-335-6201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 8TH AVE E",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "56308",
            "telephone_number": "320-335-6201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLBY-TIMM",
        "first_name": "ALISHA",
        "middle_name": "MAE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-10",
        "last_updated": "2018-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MN",
            "license": "F0616270",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "CNP 4554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, MN

Sources for this page

Verify at the official NPI Registry.