Active NPI
Diane Ruth Alvies, FNP-BC
- Family Nurse Practitioner
- Canon City, CO
National Provider Identifier
1740421817
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 14826
- Practice address
- 1338 Phay Ave
Canon City, CO 81212-2302 - Phone
- (719) 285-2800
- Fax
- (719) 285-2801
- NPI assigned
- Mar 18, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 14826 | MD | Primary |
Addresses
Primary practice location
1338 Phay Ave
Canon City, CO 81212-2302
Mailing address
4112 Outlook Blvd
Suite 37
Pueblo, CO 81008-1667
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14826 | Other | ANCC | |
| 81641 | Other | CO | RN |
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 |
|---|---|---|---|
| 14826 | MD | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1267488000000",
"number": "1740421817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4112 OUTLOOK BLVD",
"address_2": "SUITE 37",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810081667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1338 PHAY AVE",
"city": "CANON CITY",
"state": "CO",
"postal_code": "812122302",
"telephone_number": "719-285-2800",
"fax_number": "719-285-2801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALVIES",
"first_name": "DIANE",
"middle_name": "RUTH",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-18",
"last_updated": "2010-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MD",
"license": "14826",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANCC",
"identifier": "14826",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN",
"identifier": "81641",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Canon City, CO
- Daniel Allen
- Mallory T Allen
- Susan Colby Allen, D.C.
- Wayne Edward Allies, RRT
- Brandy Lachelle Alvidrez, INTERN IN MSAC
- American Medical Response of Colorado Inc (American Medical Response; AMR; MedTrans Ambulance)
- American Medical Response of Colorado Inc (American Medical Response; AMR; MedTrans Ambulance)
- Anchorpoint Counseling, LLC
- David W. Anderson
- Julie L Anderson, LPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.