Active NPI
Alysha Marie Cole, FNP
- Nurse Practitioner
- Peoria, AZ
National Provider Identifier
1902658495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 305862
- Practice address
- 10200 W Happy Valley Pkwy Ste 125
Peoria, AZ 85383-2878 - Phone
- (480) 737-5076
- NPI assigned
- Apr 5, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 305862 | AZ | Primary |
Addresses
Primary practice location
10200 W Happy Valley Pkwy Ste 125
Peoria, AZ 85383-2878
Mailing address
10200 W Happy Valley Pkwy Ste 125
Peoria, AZ 85383-2878
Phone (480) 737-5076
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 305862 | AZ | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Injx Bar LLC | Current | Accepting new patients |
Locations
10200 W Happy Valley Pkwy
Ste 125
Peoria, AZ 85383
Phone (480) 737-5076
Organizations & group practices 1
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": "1712275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712275200000",
"number": "1902658495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10200 W HAPPY VALLEY PKWY STE 125",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853832878",
"telephone_number": "480-737-5076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10200 W HAPPY VALLEY PKWY STE 125",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853832878",
"telephone_number": "480-737-5076"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLE",
"first_name": "ALYSHA",
"middle_name": "MARIE",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-04-05",
"last_updated": "2024-04-05",
"certification_date": "2024-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AZ",
"license": "305862",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Peoria, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.