ALYSA JESICA EVANS (NPI# 1164035937) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164035937 |
| Entity Type | Individual |
| Full Name | ALYSA JESICA EVANS |
| Credential | NP |
| Practice Address |
Riverview Pediatrics 315 2nd Ave Troy NY 12182 |
| Mailing Address |
6 Wilshire Dr Delmar NY 12054-3915 |
| Practice Telephone | 5182356181 |
| Practice Fax Number | 5182354323 |
| Mailing Telephone | 5184958429 |
| Enumeration Date | 2020-08-31 |
| Last Update Date | 2020-09-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
F383137-01 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6 Wilshire Dr, Delmar, NY 120543915 | 5184958429 |
| Street Address |
RIVERVIEW PEDIATRICS 315 2ND AVE |
| City | TROY |
| State | NY |
| Zip Code | 12182 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528463155 | Kelli Siracusa | Occupational Therapist | 97 3rd Avenue, Troy, NY 12182 | 2014-10-24 |
| 1346591641 | Robin Jean Kennedy | Specialist | 597 Third Ave., Troy, NY 12182 | 2012-09-26 |
| 1093065609 | Denise Warren | Specialist | 597 3rd Avenue, Troy, NY 12182 | 2012-09-12 |
| 1063735850 | Laura Lynn Bolander | Student in an Organized Health Care Education/Training Program | 597 Third Avenue, Capital District Beginnings, Troy, NY 12182 | 2010-03-08 |
| 1083945521 | Shayne Elizabeth Johnson | Speech-Language Pathologist | 597 Third Ave, Troy, NY 12182 | 2010-01-22 |
| 1952471120 | Judith Walker Coletti | Registered Nurse | 415 Second Ave, Troy, NY 12182 | 2006-11-08 |
| 1073691234 | Matthew J Clemente | Dentist | 325 Oakwood Avenue, Troy, NY 12182 | 2006-11-02 |
| 1942383658 | David Carl Coletti | Surgery | 415 Second Avenue, Troy, NY 12182 | 2006-10-24 |
| 1982617395 | Meridian Communications Inc | Speech-Language Pathologist | 7 Meridian Ct, Troy, NY 12182 | 2006-08-15 |
| 1548643364 | Carrie Beth Punger | Occupational Therapist | 597 3rd Ave, Troy, NY 12182 | 2015-06-30 |
| Find all providers in zip 12182 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053784199 | Brianna Lynn Manica | Nurse Practitioner | 44201 Dequindre Rd., Ste. 400 Troy Beaumont Hospital, Troy, MI 48085 | 2015-11-12 |
| 1790947620 | Roger Wayne Kirk Jr. | Nurse Practitioner | 1340 Highway 231 S Ste 1, Troy, AL 36081-3012 | 2008-07-01 |
| 1285765875 | Shirley Maxine Saxton | Nurse Practitioner | 744 Clarendon Rd, Troy, OH 45373-1114 | 2007-03-08 |
| 1750754743 | Yusaman Shushtari Kadrich | Nurse Practitioner | 44201 Dequindre Rd, Troy, MI 48085-1117 | 2015-11-12 |
| 1417217159 | Melissa Anne Gerling | Nurse Practitioner | 44201 Dequindre Rd, Troy, MI 48085-1117 | 2012-05-28 |
| 1578873881 | Jennifer Catherine Mullett | Nurse Practitioner | 44201 Dequindre Rd, Troy, MI 48085-1117 | 2010-10-20 |
| 1154508380 | Robert Alan Wade | Nurse Practitioner | 1412 Elba Hwy, Troy, AL 36079-6020 | 2008-01-30 |
| 1265421911 | Pamela A Altman | Nurse Practitioner | 258 Hoosick St, Suite 106, Troy, NY 12180-2427 | 2005-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932709821 | Shu-heng Wang | Nurse Practitioner | 7324 18th Ave, Brooklyn, NY 11204-5678 | 2020-10-29 |
| 1952909012 | Marina Byshovets | Nurse Practitioner | 164 Admiralty Loop, Staten Island, NY 10309-3964 | 2020-10-12 |
| 1700483799 | Dmitry Pediatrics, Pediatric Nurse Practitioner PC | Nurse Practitioner | 10 Shore Blvd Apt 1g, Brooklyn, NY 11235-4022 | 2020-10-03 |
| 1427664572 | Leigh Ann Cohen | Nurse Practitioner | 2 Lincoln Ave Ste 301, Rockville Centre, NY 11570-5775 | 2020-09-23 |
| 1295341436 | Tatiana Margaret Masone | Nurse Practitioner | 3142 Victory Blvd, Staten Island, NY 10314-6717 | 2020-09-22 |
| 1992311567 | Jyneva W Pickel | Nurse Practitioner | 3959 Broadway Rm 722, New York, NY 10032-1559 | 2020-09-19 |
| 1902410186 | Katie Elise Boyd | Nurse Practitioner | 725 Irving Ave Ste 504, Syracuse, NY 13210-1683 | 2020-09-03 |
| 1437763877 | Tiffany Yu | Nurse Practitioner | 1746 W 12th St, Brooklyn, NY 11223-1101 | 2020-09-02 |
| 1134733710 | Khristan Heagle Haller | Nurse Practitioner | 20 Locust Ln, Bronxville, NY 10708-4933 | 2020-09-01 |
| 1831703412 | Marijana Waite | Nurse Practitioner | 6544 Saunders St Apt A7, Rego Park, NY 11374-4209 | 2020-09-01 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.