Alissa J Nieves

Primary specialty

Foster Care AgencyTaxonomy code 253J00000X

License

11170207 Issued in AZ

Practice address

3565 W 22ND St Unit E
Yuma, AZ 85364-7626

Phone

(928) 315-3254

NPI assigned

Aug 16, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1629072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629504000000",
    "number": "1922774470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3818 W 16TH ST",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853644107",
            "telephone_number": "928-317-0177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3565 W 22ND ST UNIT E",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853647626",
            "telephone_number": "928-315-3254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEVES",
        "first_name": "ALISSA",
        "middle_name": "J",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-16",
        "last_updated": "2021-08-21",
        "certification_date": "2021-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "385HR2055X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Mental Illness, Child",
            "state": "AZ",
            "license": "11170207",
            "primary": false
        },
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "AZ",
            "license": "11170207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nhut Nguyen, MD
• Sang M Nguyen
• Julian J. Nicholas, M.D.
• Ashley Taylor Nickerson, PA
• Lisa Nickle
• Krishna Nimmagadda
• Stephen Njoroge, MD
• Kathleen Noble
• Jaana Noe, R.N.
• Mari Elizabeth Noel, NP

• Foster Care Agency in Yuma, AZ
• Providers in Yuma, AZ by specialty
• Foster Care Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.