Individual provider Active NPI

Alison Fauble, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Council Bluffs, IA
National Provider Identifier
1992562458
Registry record updated Mar 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
123456 Issued in IA
Practice address
902 S 6TH St
Council Bluffs, IA 51501-6441
Phone
(712) 325-1990
NPI assigned
Mar 1, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 123456 IA Primary

Addresses

Primary practice location

902 S 6TH St
Council Bluffs, IA 51501-6441

Mailing address

902 S 6TH St
Council Bluffs, IA 51501-6441

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20240417004099 IA Practitioner - Nurse Practitioner 1456790823 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
All Care Health CenterGroup PAC ID 0547241390, 19 clinicians

Practice addresses (Care Compare)

902 S 6TH St
RM a
Council Bluffs, IA 51501-6441
Phone (712) 325-1990

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
123456IAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
All Care Health Center CurrentSince Apr 12, 2024 Accepting new patients
All Care Health Center CurrentSince Mar 3, 2024 Accepting new patients

Locations

902 S 6th St
Rm A
Council Bluffs, IA 51501

1415 Avenue J
Ste 2
Council Bluffs, IA 51501
Phone (712) 325-1990

1435 N 15th St
Council Bluffs, IA 51501
Phone (712) 322-7570

902 S 6th St
Council Bluffs, IA 51501
Phone (712) 256-6583

Interoperability endpoints

  • Direct secure messaging: afauble683085@direct.ochin.org
  • FHIR API: https://webprd.ochin.org/prd-fhir/allcarehealthcenter/api/FHIR/R4

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": "1709251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709251200000",
    "number": "1992562458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 S 6TH ST",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515016441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 S 6TH ST",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515016441",
            "telephone_number": "712-325-1990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAUBLE",
        "first_name": "ALISON",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-01",
        "last_updated": "2024-03-01",
        "certification_date": "2024-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IA",
            "license": "123456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Council Bluffs, IA

Sources for this page

Verify at the official NPI Registry.