Individual provider Active NPI

Alicemarie F. Slaven-Emond, FNP-C

  • Family Nurse Practitioner
  • Delta, CO
National Provider Identifier
1437156254
Registry record updated Oct 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
C-APN.0994367-C-NP Issued in CO
Practice address
1025 Main Street
Delta, CO 81416
Phone
(970) 964-7740
Fax
(970) 874-6330
NPI assigned
Jul 7, 2005
Last updated
Oct 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 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 C-APN.0994367-C-NP CO Primary

Addresses

Primary practice location

1025 Main Street
Delta, CO 81416

Mailing address

1025 Main Street
Delta, CO 81416
Phone (970) 964-7740

Other practice location 1

1350 S Aspen Street
Norwood, CO 81423
Phone (970) 327-4233

Other practice location 2

421 Adams St
Naturita, CO 81422-5018
Phone (970) 865-2665

Other identifiers 5

IdentifierTypeStateIssuer
G1682MedicaidNM
R26648OtherNMNM STATE RN LICENSURE #
59806028MedicaidCO
268890YUZGOtherCOMEDICARE B FOR DELTA HEALTH & WELLNESS CENTER
268890ZS0NOtherCOMEDICARE B FOR NORTH FORK MEDICAL CLINIC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20120803000423 CO Practitioner - Nurse Practitioner 1850309584 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Basin Clinic IncGroup PAC ID 9032101068, 6 clinicians
Uncompahgre Combined ClinicsGroup PAC ID 2466405162, 6 clinicians

Practice addresses (Care Compare)

421 W Adams
Naturita, CO 81422-0340
Phone (970) 865-2665

P O Box
Suite 340
Naturita, CO 81422-0340

PO Box
Norwood, CO 81423

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C-APN.0994367-C-NPCOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Basin Clinic Inc CurrentSince Oct 14, 2024 Accepting new patients
Southwest Health Care Professionals Inc CurrentSince Jun 1, 1992 Accepting new patients
Uncompahgre Combined Clinics CurrentSince Nov 7, 2023 Accepting new patients
Mountain Radiology, Inc PastSince Oct 14, 2024 Accepting new patients
Uncompahgre Combined Clinics Past Accepting new patients
Debraj Smith M.D.P.C. Past Accepting new patients

Locations

2233 E Main St
Montrose, CO 81401
Phone (970) 249-3700

1601 E 20th St
Farmington, NM 87401
Phone (505) 564-3628

3705 E Main St
Farmington, NM 87402
Phone (505) 327-4532

Interoperability endpoints

  • Direct secure messaging: alicemarie.slaven-emond.1@22466.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/22466/brand/1/csg/1/fhir/r4

Organizations & group practices 7

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": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1437156254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 MAIN STREET",
            "city": "DELTA",
            "state": "CO",
            "postal_code": "81416",
            "telephone_number": "970-964-7740",
            "fax_number": "970-874-6330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 MAIN STREET",
            "city": "DELTA",
            "state": "CO",
            "postal_code": "81416",
            "telephone_number": "970-964-7740",
            "fax_number": "970-874-6330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1350 S Aspen Street",
            "address_purpose": "LOCATION",
            "city": "Norwood",
            "state": "CO",
            "postal_code": "81423",
            "country_code": "US",
            "telephone_number": "970-327-4233",
            "fax_number": "970-327-4228",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "421 Adams St",
            "address_purpose": "LOCATION",
            "city": "Naturita",
            "state": "CO",
            "postal_code": "814225018",
            "country_code": "US",
            "telephone_number": "970-865-2665",
            "fax_number": "970-865-2674",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SLAVEN-EMOND",
        "first_name": "ALICEMARIE",
        "middle_name": "F.",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-07",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "C-APN.0994367-C-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G1682",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NM STATE RN LICENSURE #",
            "identifier": "R26648",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "59806028",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE B FOR DELTA HEALTH & WELLNESS CENTER",
            "identifier": "268890YUZG",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE B FOR NORTH FORK MEDICAL CLINIC",
            "identifier": "268890ZS0N",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Delta, CO

Sources for this page

Verify at the official NPI Registry.