Active NPI
Alice Dreyfus, APRN, FNP-BC
- Family Nurse Practitioner
- Lake Havasu City, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 283789
- Practice address
- 1801 Mesquite Ave
Lake Havasu City, AZ 86403-5668 - Phone
- (928) 854-5400
- NPI assigned
- Feb 2, 2015
- Last updated
- Jan 10, 2023
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN001870 | NV | |
| Family Nurse Practitioner | 363LF0000X | AP60508961 | WA | |
| Family Nurse Practitioner | 363LF0000X | 283789 | AZ | Primary |
Addresses
Primary practice location
1801 Mesquite Ave
Lake Havasu City, AZ 86403-5668
Mailing address
9097 W Post Rd Ste 100
Las Vegas, NV 89148-2417
Phone (702) 430-5333
Other names 1
- Alice NG
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1801 Mesquite Ave
Lake Havasu City, AZ 86403-5668
Phone (928) 854-5400
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP60508961 | WA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thomas Dermatology | Current | Accepting new patients | |
| Douglas a. Thomas, MD | Past | Accepting new patients |
Locations
2350 Miracle Mile
Ste 600A
Bullhead City, AZ 86442
1815 N Stockton Hill Rd
Kingman, AZ 86401
Phone (928) 753-2888
1801 Mesquite Ave
Lk Havasu Cty, AZ 86403
Phone (702) 430-5333
6170 N Durango Dr
Ste 140
Las Vegas, NV 89149
Phone (702) 430-5333
9097 W Post Rd
Ste 100
Las Vegas, NV 89148
Phone (702) 430-5333
Interoperability endpoints
- adreyfus@thomasderm.emadirect.md
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673308800000",
"number": "1801286646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9097 W POST RD STE 100",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891482417",
"telephone_number": "702-430-5333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 MESQUITE AVE",
"city": "LAKE HAVASU CITY",
"state": "AZ",
"postal_code": "864035668",
"telephone_number": "928-854-5400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DREYFUS",
"first_name": "ALICE",
"credential": "APRN, FNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-02-02",
"last_updated": "2023-01-10",
"certification_date": "2023-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NV",
"license": "APRN001870",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP60508961",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "283789",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ALICE",
"last_name": "NG",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Lake Havasu City, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.