Individual provider Active NPI

Alisha Ann Boxley, ARNP, AGPCNP-C

  • Primary Care Nurse Practitioner
  • Seattle, WA
National Provider Identifier
1861950495
Registry record updated Dec 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
AP60938813 Issued in WA
Practice address
2320 W Commodore Way
Seattle, WA 98199-1287
Phone
(206) 632-4575
Fax
(206) 632-4576
NPI assigned
Mar 2, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X AP60938813 WA Primary

Addresses

Primary practice location

2320 W Commodore Way
Seattle, WA 98199-1287

Mailing address

18133 8TH PL W
Lynnwood, WA 98037-4955

Other practice location 1

1421 Western Ave
Seattle, WA 98101-2021
Phone (206) 683-4893

Other practice location 2

1421 Western Ave
Seattle, WA 98101-2021
Phone (206) 683-4893

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
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
I20210216001505 HI Practitioner - Nurse Practitioner 6507293727

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP60938813WAMDPrimary Care Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1551484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671753600000",
    "number": "1861950495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18133 8TH PL W",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980374955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 W COMMODORE WAY",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981991287",
            "telephone_number": "206-632-4575",
            "fax_number": "206-632-4576"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1421 Western Ave",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981012021",
            "country_code": "US",
            "telephone_number": "206-683-4893",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1421 Western Ave",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981012021",
            "country_code": "US",
            "telephone_number": "206-683-4893",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOXLEY",
        "first_name": "ALISHA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "ARNP, AGPCNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-02",
        "last_updated": "2022-12-23",
        "certification_date": "2022-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "WA",
            "license": "AP60938813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.