Active NPI
Alison Marie Oliver, RN
- Registered Nurse
- Davis, CA
National Provider Identifier
1316672165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 797019
- Practice address
- 1949 5TH St Ste 103
Davis, CA 95616-4026 - Phone
- (530) 753-2566
- NPI assigned
- Jul 17, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 797019 | CA | Primary |
Addresses
Primary practice location
1949 5TH St Ste 103
Davis, CA 95616-4026
Mailing address
1949 5TH St Ste 103
Davis, CA 95616-4026
Phone (530) 753-2566
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101YM0800X | Medicaid | CA |
Other names 1
- Ms. Alison Glenn
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | alison@progressranch.org | Health Information Exchange (HIE) |
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)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 797019 | CA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Progress Ranch Treatment Services for Children | Current | Accepting new patients |
Locations
1949 5th St
Ste 103
Davis, CA 95616
Phone (530) 304-4586
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 and National Provider Directory roles.
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Sacramento, CA
- NPI 1306471420
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658016000000",
"number": "1316672165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1949 5TH ST STE 103",
"city": "DAVIS",
"state": "CA",
"postal_code": "956164026",
"telephone_number": "530-753-2566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1949 5TH ST STE 103",
"city": "DAVIS",
"state": "CA",
"postal_code": "956164026",
"telephone_number": "530-753-2566"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLIVER",
"first_name": "ALISON",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-17",
"last_updated": "2022-07-17",
"certification_date": "2022-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "797019",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101YM0800X",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "alison@progressranch.org",
"affiliation": "N",
"endpointDescription": "secured work email address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Direct mail including HIE to a secured email address on a private, employer issued device",
"address_1": "2131 Bueno Dr",
"city": "Davis",
"state": "CA",
"country_code": "US",
"postal_code": "956160717",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "ALISON",
"last_name": "GLENN",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Davis, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.