Alisa Sherea Hopkins, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

738162 Issued in NY

Practice address

167 Polk St Ste 300
Watertown, NY 13601-2770

Phone

(315) 782-7445

Fax

(315) 779-1189

NPI assigned

Jan 3, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Alisa Sherea Lewis Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Children'S Home of Jefferson County

  • Community/Behavioral Health Agency
  • Watertown, NY
  • NPI 1538455696
  NPD (past)
• Children'S Home of Jefferson County

  • Case Management Agency
  • Watertown, NY
  • NPI 1770625527
  NPD (past)

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

{
    "created_epoch": "1514937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514937600000",
    "number": "1811404536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6550",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136016550",
            "telephone_number": "315-782-7445",
            "fax_number": "315-779-1184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 POLK ST STE 300",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136012770",
            "telephone_number": "315-782-7445",
            "fax_number": "315-779-1189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOPKINS",
        "first_name": "ALISA",
        "middle_name": "SHEREA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-03",
        "last_updated": "2018-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "738162",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3372621",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALISA",
            "last_name": "LEWIS",
            "middle_name": "SHEREA",
            "credential": "RN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Susan Elizabeth Hoenninger, M.S., LMHC
• Shari M Hogan, MD
• Ellen Hollister-Breen
• Niki Lynn Homa
• Anna Hoover
• Rebecca Hopkins, LCSW-R
• Sandra A Horning, LPN
• Matthew James Horrocks
• Danelle Jean Hoselton, MA CCC-SLP
• Hospice of Jefferson County, Inc.

• Registered Nurse in Watertown, NY
• Providers in Watertown, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.