Individual provider Active NPI

Alisha Ann Brock, APRN, FNP-C

  • Family Nurse Practitioner
  • Parkersburg, WV
National Provider Identifier
1215491006
Registry record updated Nov 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN92399-NP-C Issued in WV
Practice address
4421 Emerson Ave Ste 205
Parkersburg, WV 26104-1200
Phone
(304) 693-6096
NPI assigned
Jan 25, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN92399-NP-C WV Primary

Addresses

Primary practice location

4421 Emerson Ave Ste 205
Parkersburg, WV 26104-1200

Mailing address

2073 Dutch Ridge Rd
Parkersburg, WV 26104-7020
Phone (304) 210-0061

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, OH2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20190320001756 WV Practitioner - Nurse Practitioner 8022358548 Reassigns benefits to 5 organizations
I20220817002942 OH Practitioner - Nurse Practitioner 8022358548 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN92399-NP-CWVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Rehab Consultants PLLC Family CurrentSince Jul 20, 2022 Accepting new patients
Tapestry Telehealth PLLC CurrentSince Sep 17, 2022 Accepting new patients
Pai Participant 1 LLC CurrentSince Oct 26, 2024 Accepting new patients
James R. Toothman DO PLLC CurrentSince May 3, 2023 Accepting new patients
Alignmed Partners, PC CurrentSince Jan 27, 2019 Accepting new patients
CNP Operating Co LLC CurrentSince Dec 8, 2021 Accepting new patients
Pai Participant 5 PC CurrentSince Oct 26, 2024 Accepting new patients
Impact Health Biometric Testing, Inc. PastSince Oct 1, 2020 Accepting new patients

Locations

99 Hawley Ln
Ste 1102
Stratford, CT 06614

1 Emerson Dr
Windsor, CT 06095
Phone (860) 688-6443

415 W Golf Rd
Ste 26
Arlington Hts, IL 60005

311 Buck Ridge Rd
Bidwell, OH 45614
Phone (740) 446-7150

230 Cherry St
Chillicothe, OH 45601
Phone (740) 773-6470

117 Bartlett St
Marietta, OH 45750
Phone (740) 373-1867

8151 Norton Pkwy
Mentor, OH 44060
Phone (440) 299-5500

200 Whiteman Ave
Elkins, WV 26241
Phone (304) 636-2033

1 Diane Dr
Fort Ashby, WV 26719
Phone (304) 298-3602

101 13th St
Huntington, WV 25701
Phone (304) 525-7622

601 Avery St
Ste 501
Parkersburg, WV 26101
Phone (304) 422-3904

2675 36th St
Parkersburg, WV 26104
Phone (304) 422-8112

107 Miller Dr
Ripley, WV 25271
Phone (304) 372-5115

Organizations & group practices 8

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

NPI Registry JSON

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

{
    "created_epoch": "1548374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669248000000",
    "number": "1215491006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2073 DUTCH RIDGE RD",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261047020",
            "telephone_number": "304-210-0061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4421 EMERSON AVE STE 205",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261041200",
            "telephone_number": "304-693-6096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCK",
        "first_name": "ALISHA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-25",
        "last_updated": "2022-11-24",
        "certification_date": "2022-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "APRN92399-NP-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parkersburg, WV

Sources for this page

Verify at the official NPI Registry.