Individual provider Active NPI

Alisha Nabours, PA-C

  • Physician Assistant
  • Renton, WA
National Provider Identifier
1912798471
Registry record updated Oct 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA70038337 Issued in WA
Practice address
4033 Talbot Rd S Ste 520
Renton, WA 98055-5774
Phone
(425) 690-3586
Fax
(425) 690-9586
NPI assigned
May 14, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA.0009122 CO
Physician Assistant 363A00000X PA2025-0044 NM
Physician Assistant 363A00000X 66368 CA
Physician Assistant 363A00000X PA70038337 WA Primary

Addresses

Primary practice location

4033 Talbot Rd S Ste 520
Renton, WA 98055-5774

Mailing address

3600 Lind Ave SW Ste 100
Renton, WA 98057-4970
Phone (425) 690-2715

Other practice location 1

2637 Tumwater Ln
Boulder, CO 80304-2494
Phone (918) 774-3133

Other names 1

  • Alisha Powell Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, WA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250830000291 CO Practitioner - Physician Assistant 7012418007 Reassigns benefits to 1 organization
I20251114000738 WA Practitioner - Physician Assistant 7012418007 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Medical Group-RentonGroup PAC ID 4183753965, 419 clinicians

Practice addresses (Care Compare)

4033 Talbot Rd S
Suite 520
Renton, WA 98055-5774
Phone 42565655662

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA.0009122COMDPhysician Assistant
PA2025-0044NMMDPhysician Assistant
PA70038337WAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Medical Group-Renton Physician Assistant CurrentSince Nov 1, 2025 Accepting new patients
Boulder Community Health CurrentSince Aug 25, 2025 Accepting new patients
Boulder Community Health CurrentSince Aug 25, 2025 Accepting new patients
Public Hospital District #1 of King County Past Accepting new patients
Boulder Community Health Past Accepting new patients
Boulder Community Health Past Accepting new patients

Locations

1755 48th St
Ste 200
Boulder, CO 80301
Phone (303) 415-7450

16850 SE 272nd St
Ste 100
Covington, WA 98042
Phone (253) 395-1971

27500 168th Pl SE
Covington, WA 98042
Phone (425) 690-3430

3600 Lind Ave SW
Ste 100
Renton, WA 98057

4033 Talbot Rd S
Ste 520
Renton, WA 98055
Phone (425) 255-1999

Interoperability endpoints

  • Direct secure messaging: anabours129506@direct.valleymed.org

Organizations & group practices 7

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1747180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761868800000",
    "number": "1912798471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 LIND AVE SW STE 100",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980574970",
            "telephone_number": "425-690-2715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4033 TALBOT RD S STE 520",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980555774",
            "telephone_number": "425-690-3586",
            "fax_number": "425-690-9586"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2637 Tumwater Ln",
            "address_purpose": "LOCATION",
            "city": "Boulder",
            "state": "CO",
            "postal_code": "803042494",
            "country_code": "US",
            "telephone_number": "918-774-3133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NABOURS",
        "first_name": "ALISHA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-14",
        "last_updated": "2025-10-31",
        "certification_date": "2025-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0009122",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NM",
            "license": "PA2025-0044",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "66368",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA70038337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALISHA",
            "last_name": "POWELL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Renton, WA

Sources for this page

Verify at the official NPI Registry.