Individual provider Active NPI

Alison Leigh Stillwell, FNP-BC

  • Family Nurse Practitioner
  • Carmel, IN
National Provider Identifier
1902271349
Registry record updated Dec 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP60608127 Issued in WA
Practice address
755 W Carmel Dr Ste 150
Carmel, IN 46032-5878
Phone
(317) 810-1399
Fax
(317) 810-1391
NPI assigned
Dec 10, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP60608127 WA Primary
Nurse Practitioner 363L00000X AP60608127 WA

Addresses

Primary practice location

755 W Carmel Dr Ste 150
Carmel, IN 46032-5878

Mailing address

755 W Carmel Dr Ste 150
Carmel, IN 46032-5878
Phone (317) 810-1399

Other names 1

  • Alison Bouse Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190305001453 IN Practitioner - Nurse Practitioner 1254634587 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP60608127WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fully Armored Family Health and Fitness LLC Nurse Practitioner CurrentSince Dec 27, 2018 Accepting new patients
Major Hospital Past Accepting new patients

Locations

755 W Carmel Dr
Ste 150
Carmel, IN 46032
Phone (317) 667-3165

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9441/brand/1/csg/1/fhir/r4

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1449705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638748800000",
    "number": "1902271349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 W CARMEL DR STE 150",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460325878",
            "telephone_number": "317-810-1399",
            "fax_number": "317-810-1391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 W CARMEL DR STE 150",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460325878",
            "telephone_number": "317-810-1399",
            "fax_number": "317-810-1391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STILLWELL",
        "first_name": "ALISON",
        "middle_name": "LEIGH",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-10",
        "last_updated": "2021-12-06",
        "certification_date": "2021-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60608127",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP60608127",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALISON",
            "last_name": "BOUSE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Carmel, IN

Sources for this page

Verify at the official NPI Registry.