Individual provider Active NPI

Alison L Brim, ANP-C

  • Adult Health Nurse Practitioner
  • Raleigh, NC
National Provider Identifier
1316182991
Registry record updated Aug 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
5004215 Issued in NC
Practice address
2815 Cates Ave
Campus Box 7304
Raleigh, NC 27695-7304
Phone
(919) 515-2563
Fax
(888) 972-4151
NPI assigned
Dec 10, 2008
Last updated
Aug 3, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 5004215 NC Primary

Addresses

Primary practice location

2815 Cates Ave
Campus Box 7304
Raleigh, NC 27695-7304

Mailing address

2815 Cates Ave
Campus Box 7304
Raleigh, NC 27695-7304
Phone (919) 515-2563

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5004215NCMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
NC State University Student Health Past Accepting new patients
North Carolina State University Past Accepting new patients
North Carolina State University Past Accepting new patients

Organizations & group practices 3

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": "1228867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438560000000",
    "number": "1316182991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2815 CATES AVE",
            "address_2": "CAMPUS BOX 7304",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276957304",
            "telephone_number": "919-515-2563",
            "fax_number": "888-972-4151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2815 CATES AVE",
            "address_2": "CAMPUS BOX 7304",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276957304",
            "telephone_number": "919-515-2563",
            "fax_number": "888-972-4151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIM",
        "first_name": "ALISON",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "ANP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-10",
        "last_updated": "2015-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NC",
            "license": "5004215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2015; 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.