Individual provider Active NPI

Alissa Dell, FNP-C

  • Family Nurse Practitioner
  • Glenwood Springs, CO
National Provider Identifier
1306164827
Registry record updated Aug 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP-5763 Issued in CO
Practice address
1901 Grand Ave Ste 200
Glenwood Springs, CO 81601-4710
Phone
(970) 440-8087
NPI assigned
May 7, 2010
Last updated
Aug 24, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2023

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 NP-5763 CO Primary

Addresses

Primary practice location

1901 Grand Ave Ste 200
Glenwood Springs, CO 81601-4710

Mailing address

1901 Grand Ave Ste 200
Glenwood Springs, CO 81601-4710
Phone (970) 440-8087

Other identifiers 2

IdentifierTypeStateIssuer
66186838MedicaidCO
022261OtherCOKAISER COMMERCIAL NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5763COMDChiropractor
NP-5763COMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
MH Health Care Services, PC Family PastSince Sep 5, 2023 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: alissa.dell.1@14940.direct.athenahealth.com

Organizations & group practices 1

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": "1273190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692835200000",
    "number": "1306164827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 GRAND AVE STE 200",
            "city": "GLENWOOD SPRINGS",
            "state": "CO",
            "postal_code": "816014710",
            "telephone_number": "970-440-8087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 GRAND AVE STE 200",
            "city": "GLENWOOD SPRINGS",
            "state": "CO",
            "postal_code": "816014710",
            "telephone_number": "970-440-8087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELL",
        "first_name": "ALISSA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-07",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "NP-5763",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "66186838",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER COMMERCIAL NUMBER",
            "identifier": "022261",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenwood Springs, CO

Sources for this page

Verify at the official NPI Registry.