Individual provider Active NPI

Edmund Allison, FNP - C

  • Family Nurse Practitioner
  • Laveen, AZ
National Provider Identifier
1780197293
Registry record updated Mar 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP11046 Issued in AZ
Practice address
17487 S Healthcare Dr
Laveen, AZ 85339-8500
Phone
(520) 550-6000
Fax
(520) 550-6027
NPI assigned
Nov 7, 2017
Last updated
Mar 18, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN0000022725 TN
Family Nurse Practitioner 363LF0000X AP11046 AZ Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP11046 AZ

Addresses

Primary practice location

17487 S Healthcare Dr
Laveen, AZ 85339-8500

Mailing address

PO Box 115
Sacaton, AZ 85147-0002
Phone (520) 796-2600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, TX2 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
I20180416002587 AZ Practitioner - Nurse Practitioner 2365705241 Reassigns benefits to 1 organization
I20230123000127 TX Practitioner - Nurse Practitioner 2365705241 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

17487 S Health Care Dr
Hu Hu Kam Memorial Hospital
Laveen, AZ 85339-0038
Phone (520) 550-6000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.21 of 100Reported as group
Quality
76.88
Promoting interoperability
76
Improvement activities
40
Cost
73.83

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP11046AZMDFamily Nurse Practitioner
APN0000022725TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Country Healthcare, Inc. Current Accepting new patients
North Country Healthcare, Inc. CurrentSince Apr 1, 2018 Accepting new patients
Corner Health Medical Group P a Family CurrentSince Nov 1, 2025 Accepting new patients
DHHS PHS IHS Phoenix Area CurrentSince Nov 21, 2022 Accepting new patients
North Country Healthcare, Inc. CurrentSince Apr 1, 2018 Accepting new patients
Gila River Health Care Corporation CurrentSince Jan 11, 2024 Accepting new patients
Gila River Health Care Corporation Current Accepting new patients
Gila River Health Care CurrentSince Jan 11, 2024 Accepting new patients
North Country Healthcare, Inc. Current Accepting new patients
Healthnex Integrative Care Family Current Accepting new patients
North Country Healthcare Inc Past Accepting new patients

Locations

2585 Miracle Mile
Ste 116
Bullhead City, AZ 86442
Phone (928) 219-3300

1120 W University Ave
Flagstaff, AZ 86001
Phone (833) 898-9222

1501 S Yale St
Ste 252
Flagstaff, AZ 86001
Phone (928) 774-1811

2187 N Vickey St
Ste 2
Flagstaff, AZ 86004
Phone (928) 527-1899

2500 N Rose St
Flagstaff, AZ 86004
Phone (928) 213-6121

2920 N 4th St
Flagstaff, AZ 86004
Phone (928) 213-6100

2109 Navajo Blvd
Holbrook, AZ 86025
Phone (928) 213-6100

1510 N Stockton Hill Rd
Kingman, AZ 86401
Phone (928) 753-1177

17487 S Healthcare Dr
Laveen, AZ 85339
Phone (520) 550-6000

17487 S Healthcare Dr
#H
Laveen, AZ 85339
Phone (520) 550-6000

2090 Smoketree Ave N
Lk Havasu Cty, AZ 86403
Phone (928) 854-1800

48203 W Farrell Rd
#H
Maricopa, AZ 85139
Phone (520) 568-3881

1910 S Stapley Dr
Ste 120
Mesa, AZ 85204
Phone (480) 480-2794

126 E Main St
Ste B
Payson, AZ 85541
Phone (928) 468-8610

2 N Central Ave
Ste 1800
Phoenix, AZ 85004
Phone (425) 243-3719

2650 E Show Low Lake Rd
Ste 1
Show Low, AZ 85901
Phone (928) 537-4300

488 S Mountain Ave
Springerville, AZ 85938
Phone (928) 333-0127

173 N Haskell Ave
Willcox, AZ 85643
Phone (480) 530-6170

301 S 7th St
Williams, AZ 86046
Phone (928) 380-2611

620 Lee St
Winslow, AZ 86047
Phone (928) 288-8700

312 Arizona Ave
Ste 314
Santa Monica, CA 90401

401 Picacho Rd
Winterhaven, CA 92283
Phone (760) 572-4100

4100 W 150th St
Cleveland, OH 44135

Organizations & group practices 11

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1510012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773792000000",
    "number": "1780197293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 115",
            "city": "SACATON",
            "state": "AZ",
            "postal_code": "851470002",
            "telephone_number": "520-796-2600",
            "fax_number": "602-528-1296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17487 S HEALTHCARE DR",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853398500",
            "telephone_number": "520-550-6000",
            "fax_number": "520-550-6027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLISON",
        "first_name": "EDMUND",
        "credential": "FNP - C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-07",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000022725",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP11046",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "AP11046",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laveen, AZ

Sources for this page

Verify at the official NPI Registry.