Individual provider Active NPI

Alicia Odell Miers, FNP

  • Family Nurse Practitioner
  • Lafayette, CO
National Provider Identifier
1619421773
Registry record updated Feb 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN.0992479-NP Issued in CO
Practice address
1000 W South Boulder Rd Ste 110
Lafayette, CO 80026-2753
Phone
(303) 415-4355
Fax
(303) 666-1982
NPI assigned
Aug 6, 2016
Last updated
Feb 27, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN.0175434 CO
Family Nurse Practitioner 363LF0000X APN.0992479-NP CO Primary

Addresses

Primary practice location

1000 W South Boulder Rd Ste 110
Lafayette, CO 80026-2753

Mailing address

5450 Western Ave
Boulder, CO 80301-2709
Phone (303) 415-4355

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, WV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170905000398 CO Practitioner - Nurse Practitioner 8224301874 Reassigns benefits to 1 organization
I20221217000467 WV Practitioner - Nurse Practitioner 8224301874 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Valley Comprehensive Community Mental Health Center IncGroup PAC ID 8820902885, 9 clinicians

Practice addresses (Care Compare)

202 Tunnelton St
Kingwood, WV 26537-1452
Phone (304) 329-1059

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN.0175434COMDRegistered Nurse
APN.0992479-NPCOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Boulder Community Health CurrentSince Aug 1, 2017 Accepting new patients
Boulder Community Health CurrentSince Aug 1, 2017 Accepting new patients
Boulder Community Health Current Accepting new patients
Valley Comprehensive Community Mental Health Center Past Accepting new patients

Locations

1755 48th St
Ste 200
Boulder, CO 80301
Phone (303) 415-7450

5450 Western Ave
Boulder, CO 80301
Phone (303) 415-4770

1000 W South Boulder Rd
Ste 110
Lafayette, CO 80026
Phone (303) 415-4355

Organizations & group practices 5

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": "1470441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551225600000",
    "number": "1619421773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5450 WESTERN AVE",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803012709",
            "telephone_number": "303-415-4355",
            "fax_number": "303-415-4374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W SOUTH BOULDER RD STE 110",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800262753",
            "telephone_number": "303-415-4355",
            "fax_number": "303-666-1982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIERS",
        "first_name": "ALICIA",
        "middle_name": "ODELL",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-06",
        "last_updated": "2019-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "RN.0175434",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0992479-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, CO

Sources for this page

Verify at the official NPI Registry.