Individual provider Active NPI

Alicia Dawn Surrey, RNC

  • Registered Nurse
  • Fort Leavenworth, KS
National Provider Identifier
1467690933
Registry record updated Jun 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
82932 Issued in SC
Practice address
550 Pope Ave
Munson Army Health Center, Attn: MCXN-Cod, Ms. Cotton
Fort Leavenworth, KS 66027-2332
Phone
(913) 684-6562
Fax
(913) 684-6208
NPI assigned
Jan 21, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 82932 SC Primary

Addresses

Primary practice location

550 Pope Ave
Munson Army Health Center, Attn: MCXN-Cod, Ms. Cotton
Fort Leavenworth, KS 66027-2332

Mailing address

550 Pope Ave
Munson Army Health Center, Attn: MCXN-Cod, Ms. Cotton
Fort Leavenworth, KS 66027-2332
Phone (913) 684-6562

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

NPI Registry JSON

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

{
    "created_epoch": "1232496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244073600000",
    "number": "1467690933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 POPE AVE",
            "address_2": "MUNSON ARMY HEALTH CENTER, ATTN: MCXN-COD, MS. COTTON",
            "city": "FORT LEAVENWORTH",
            "state": "KS",
            "postal_code": "660272332",
            "telephone_number": "913-684-6562",
            "fax_number": "913-684-6208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 POPE AVE",
            "address_2": "MUNSON ARMY HEALTH CENTER, ATTN: MCXN-COD, MS. COTTON",
            "city": "FORT LEAVENWORTH",
            "state": "KS",
            "postal_code": "660272332",
            "telephone_number": "913-684-6562",
            "fax_number": "913-684-6208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SURREY",
        "first_name": "ALICIA",
        "middle_name": "DAWN",
        "name_prefix": "Mrs.",
        "credential": "RNC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-21",
        "last_updated": "2009-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "SC",
            "license": "82932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Leavenworth, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2009; 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.