Individual provider Active NPI

Alyce M. Huntsinger, FNP, NNP

  • Family Nurse Practitioner
  • Salem, OR
National Provider Identifier
1932310216
Registry record updated Aug 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
200850051NP Issued in OR
Practice address
2480 Liberty St NE
Suite 180
Salem, OR 97301-8380
Phone
(503) 363-8047
Fax
(503) 363-6571
NPI assigned
May 25, 2007
Last updated
Aug 15, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2011

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 200850051NP OR Primary
Neonatal Nurse Practitioner 363LN0000X 081047091N9 OR

Addresses

Primary practice location

2480 Liberty St NE
Suite 180
Salem, OR 97301-8380

Mailing address

2480 Liberty Street NE
Suite 180
Salem, OR 97301
Phone (503) 363-8047

Other identifiers 2

IdentifierTypeStateIssuer
022927MedicaidOR
9644345MedicaidWA

Other names 1

  • Alyce M. Huntsinger-Mickel Former name

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
081047091N9ORMDNeonatal Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
WVP Medical Group, LLC Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313366400000",
    "number": "1932310216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2480 LIBERTY STREET NE",
            "address_2": "SUITE 180",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "97301",
            "telephone_number": "503-363-8047",
            "fax_number": "503-363-6571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2480 LIBERTY ST NE",
            "address_2": "SUITE 180",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973018380",
            "telephone_number": "503-363-8047",
            "fax_number": "503-363-6571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNTSINGER",
        "first_name": "ALYCE",
        "middle_name": "M.",
        "credential": "FNP, NNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-25",
        "last_updated": "2011-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "200850051NP",
            "primary": true
        },
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "OR",
            "license": "081047091N9",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022927",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9644345",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALYCE",
            "last_name": "HUNTSINGER-MICKEL",
            "middle_name": "M.",
            "credential": "NNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Salem, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2011; 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.