Alisa Jewel Hawes, NP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

NP95019616 Issued in CA

Practice address

245 Mount Hermon Rd Ste L
Scotts Valley, CA 95066-4044

Phone

(831) 430-7203

Fax

(831) 430-7204

NPI assigned

Sep 29, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Merit-based Incentive Payment System (MIPS)

Final score

99.64 of 100Reported as apm

Quality

86.27

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1664409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681776000000",
    "number": "1194449413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 DATA DR",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956707956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 MOUNT HERMON RD STE L",
            "city": "SCOTTS VALLEY",
            "state": "CA",
            "postal_code": "950664044",
            "telephone_number": "831-430-7203",
            "fax_number": "831-430-7204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWES",
        "first_name": "ALISA",
        "middle_name": "JEWEL",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-29",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "NP95019616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Gustafson, RN
• Soliee Gutierrez
• Martin Guzman
• Michael Bernard Hame
• Marilyn Lee Harrower, MFT
• Connor William Haysbert, MD
• Healthier Plate LLC
• Adam Heredia
• Darien Heron, M.D.
• Samantha Herrer

• Primary Care Nurse Practitioner in Scotts Valley, CA
• Providers in Scotts Valley, CA by specialty
• Primary Care Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.