Individual provider Active NPI

Alaa Al-Talla, ARNP

  • Family Nurse Practitioner
  • Waverly, IA
National Provider Identifier
1396592291
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A178764 Issued in IA
Practice address
312 9TH St SW
Waverly, IA 50677-2999
Phone
(319) 352-4120
NPI assigned
Apr 30, 2024
Last updated
Apr 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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 A178764 IA Primary

Addresses

Primary practice location

312 9TH St SW
Waverly, IA 50677-2999

Mailing address

3369 Monticello Ave
Waterloo, IA 50701-4654
Phone (217) 550-1036

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240715003315 IA Practitioner - Nurse Practitioner 4486199304 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1000 Brandilynn Blvd
Cedar Falls, IA 50613-7462

4480 Utica Ridge Rd
Bettendorf, IA 52722-1644

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Waverly Health Center CurrentSince Jul 16, 2024 Accepting new patients
Iowa Physicians Clinic Medical Foundation CurrentSince Feb 9, 2026 Accepting new patients
Waverly Health Center Current Accepting new patients
Waverly Health Center CurrentSince Jul 16, 2024 Accepting new patients

Locations

4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150

202 Wildcat Way
Janesville, IA 50647
Phone (319) 987-2361

80 Amherst Blvd
Ste 400
Nashua, IA 50658
Phone (641) 435-4133

1001 Mason Way
Shell Rock, IA 50670
Phone (319) 885-6530

100 Wartburg Blvd
Ste 1392
Waverly, IA 50677
Phone (319) 346-9783

312 9th St SW
Waverly, IA 50677
Phone (319) 352-4120

312 9th St SW
Ste 2300
Waverly, IA 50677
Phone (319) 483-1390

312 9th St SW
Ste 3300
Waverly, IA 50677
Phone (319) 483-1400

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1714435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1396592291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3369 MONTICELLO AVE",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507014654",
            "telephone_number": "217-550-1036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 9TH ST SW",
            "city": "WAVERLY",
            "state": "IA",
            "postal_code": "506772999",
            "telephone_number": "319-352-4120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL-TALLA",
        "first_name": "ALAA",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-30",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A178764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waverly, IA

Sources for this page

Verify at the official NPI Registry.