Active NPI
Alison Mahan
- Nurse Practitioner
- Monona, WI
National Provider Identifier
1700345923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 16384-33
- Practice address
- 6117 Monona Dr
Monona, WI 53716-4303 - Phone
- (608) 807-6577
- NPI assigned
- Mar 18, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 4437333748 | WI | |
| Nurse Practitioner | 363L00000X | 16384-33 | WI | Primary |
Addresses
Primary practice location
6117 Monona Dr
Monona, WI 53716-4303
Mailing address
2670 McGaw Rd
Fitchburg, WI 53711-5537
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4437333748 | WI | MD | Registered Nurse |
| 16384-33 | WI | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736985600000",
"number": "1700345923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2670 MCGAW RD",
"city": "FITCHBURG",
"state": "WI",
"postal_code": "537115537"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6117 MONONA DR",
"city": "MONONA",
"state": "WI",
"postal_code": "537164303",
"telephone_number": "608-807-6577"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAHAN",
"first_name": "ALISON",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-03-18",
"last_updated": "2025-01-16",
"certification_date": "2025-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WI",
"license": "4437333748",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WI",
"license": "16384-33",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monona, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.