Alisha Hamidian, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

1-123291 Issued in AL

Practice address

1229 County Road 512
Valley Head, AL 35989-4926

Phone

(256) 945-0892

NPI assigned

Jul 7, 2020

Last updated

Jul 7, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1594080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594080000000",
    "number": "1316565336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1229 COUNTY ROAD 512",
            "city": "VALLEY HEAD",
            "state": "AL",
            "postal_code": "359894926",
            "telephone_number": "256-945-0892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1229 COUNTY ROAD 512",
            "city": "VALLEY HEAD",
            "state": "AL",
            "postal_code": "359894926",
            "telephone_number": "256-945-0892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMIDIAN",
        "first_name": "ALISHA",
        "name_prefix": "Ms.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-07",
        "last_updated": "2020-07-07",
        "certification_date": "2020-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AL",
            "license": "1-123291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anesthesia Management Group of North Alabama,LLC
• Chiara Focardi, NBCCH
• Lori B Gustafson, PTA
• John Wayne Moore, CRNP
• North Dekalb Primary Care, LLC
• Valley Head Drugs LLC

• Psychiatric/Mental Health Nurse Practitioner in Valley Head, AL
• Providers in Valley Head, AL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2020; 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.