Individual provider Active NPI

Alisha Quast, NP

  • Family Nurse Practitioner
  • Brookings, OR
National Provider Identifier
1780986042
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
10052294 Issued in OR
Practice address
97900 Shopping Center Ave Ste 14
Brookings, OR 97415-9412
Phone
(458) 260-3090
NPI assigned
Nov 18, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 10052294 OR Primary
Registered Nurse 163W00000X 201609800RN OR
Family Nurse Practitioner 363LF0000X 95031148 CA
Registered Nurse 163W00000X RN 777600 CA

Addresses

Primary practice location

97900 Shopping Center Ave Ste 14
Brookings, OR 97415-9412

Mailing address

97900 Shopping Center Ave Ste 14
Brookings, OR 97415-9412
Phone (458) 260-3090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20241217003912 CA Order and Referring Only - Nurse Practitioner 9436686219

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN 777600CAMDRegistered Nurse
95031148CAMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1290038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1780986042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97900 SHOPPING CENTER AVE STE 14",
            "city": "BROOKINGS",
            "state": "OR",
            "postal_code": "974159412",
            "telephone_number": "458-260-3090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97900 SHOPPING CENTER AVE STE 14",
            "city": "BROOKINGS",
            "state": "OR",
            "postal_code": "974159412",
            "telephone_number": "458-260-3090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUAST",
        "first_name": "ALISHA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-18",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "10052294",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "201609800RN",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95031148",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "RN 777600",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookings, OR

Sources for this page

Verify at the official NPI Registry.