Individual provider Active NPI

Alisson Gilbert, PMHNP-BC, AGNP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Williamsburg, VA
National Provider Identifier
1730624701
Registry record updated Aug 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0024180249 Issued in VA
Practice address
1769 Jamestown Rd Ste 110
Williamsburg, VA 23185-2310
Phone
(757) 828-2375
Fax
(757) 794-4675
NPI assigned
Dec 30, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP9753 AZ
Adult Health Nurse Practitioner 363LA2200X 0024180249 VA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP9753 AZ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024180249 VA Primary

Addresses

Primary practice location

1769 Jamestown Rd Ste 110
Williamsburg, VA 23185-2310

Mailing address

1769 Jamestown Rd Ste 110
Williamsburg, VA 23185-2310
Phone (757) 828-2375

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20210503000012 VA Practitioner - Nurse Practitioner 3476837071

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024180249VAMDAdult Health Nurse Practitioner
AP9753AZMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aging Well Psychiatry, LLC CurrentSince Aug 28, 2022 Accepting new patients
Arizona Post-Acute Medical Services 1 PC Past Accepting new patients

Locations

1769 Jamestown Rd
Ste 110
Williamsburg, VA 23185
Phone (757) 828-2375

352 McLaws Cir
Ste 4
Williamsburg, VA 23185
Phone (757) 448-8408

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1483056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661385600000",
    "number": "1730624701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1769 JAMESTOWN RD STE 110",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231852310",
            "telephone_number": "757-828-2375",
            "fax_number": "757-794-4675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1769 JAMESTOWN RD STE 110",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231852310",
            "telephone_number": "757-828-2375",
            "fax_number": "757-794-4675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILBERT",
        "first_name": "ALISSON",
        "credential": "PMHNP-BC, AGNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-30",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "AP9753",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "VA",
            "license": "0024180249",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "AP9753",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024180249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsburg, VA

Sources for this page

Verify at the official NPI Registry.