Individual provider Active NPI

Alisa Walker, FNP

  • Nurse Practitioner
  • Hickory, NC
National Provider Identifier
1922668896
Registry record updated Oct 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5011829 Issued in NC
Practice address
1067 13TH St SE
Hickory, NC 28602-2771
Phone
(910) 663-2273
Fax
(910) 663-4050
NPI assigned
Jun 13, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2024

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 5011829 NC
Nurse Practitioner 363L00000X 5011829 NC Primary

Addresses

Primary practice location

1067 13TH St SE
Hickory, NC 28602-2771

Mailing address

PO Box 2123
Bryson City, NC 28713-5123
Phone (910) 490-0490

Other practice location 1

710 Sunset Blvd Ste A
Sunset Beach, NC 28468
Phone (910) 663-2273

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20190814002048 NC Practitioner - Nurse Practitioner 9335476340 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Comprehensive Care PAGroup PAC ID 9436496536, 4 clinicians

Practice addresses (Care Compare)

1067 13TH St SE
Hickory, NC 28602-4165
Phone (828) 358-2090

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5011829NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Comprehensive Care PA Family CurrentSince Feb 2, 2025 Accepting new patients
Coastal Comprehensive Care PA Family CurrentSince Oct 25, 2024 Accepting new patients

Locations

1067 13th St SE
Hickory, NC 28602
Phone (828) 358-2090

710 Sunset Blvd N
Ste A
Sunset Beach, NC 28468
Phone (910) 575-3923

710 Sunset Blvd N
Sunset Beach, NC 28468
Phone (910) 538-7814

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": "1560384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1922668896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2123",
            "city": "BRYSON CITY",
            "state": "NC",
            "postal_code": "287135123",
            "telephone_number": "910-490-0490",
            "fax_number": "828-538-4441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1067 13TH ST SE",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286022771",
            "telephone_number": "910-663-2273",
            "fax_number": "910-663-4050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "710 Sunset Blvd Ste A",
            "address_purpose": "LOCATION",
            "city": "Sunset Beach",
            "state": "NC",
            "postal_code": "28468",
            "country_code": "US",
            "telephone_number": "910-663-2273",
            "fax_number": "910-663-4050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALKER",
        "first_name": "ALISA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-13",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5011829",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5011829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory, NC

Sources for this page

Verify at the official NPI Registry.