ALYSSA BASILE (NPI# 1689147985) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689147985 |
| Entity Type | Individual |
| Full Name | ALYSSA BASILE |
| Credential | APRN |
| Practice Address |
601 E Rollins St Orlando FL 32803-1248 |
| Mailing Address |
7236 Stonerock Cir Orlando FL 32819-8000 |
| Practice Telephone | 4073037283 |
| Mailing Telephone | 3218416444 |
| Mailing Fax Number | 4076501307 |
| Enumeration Date | 2019-01-09 |
| Last Update Date | 2020-09-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WC0200X |
Registered Nurse Specialization: Critical Care Medicine |
RN9358856 | FL | Nursing Service Providers |
| N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
APRN11001337 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
APRN11001337 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LC0200X |
Nurse Practitioner Specialization: Critical Care Medicine |
APRN11001337 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 102470700 | 05 | |
| FL | MEDICARE | PENDING | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1350 Hickory St, Melbourne, FL 329013224 | 3214341771 |
| Street Address |
601 E ROLLINS ST |
| City | ORLANDO |
| State | FL |
| Zip Code | 32803-1248 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295739522 | David Kos | Radiology | 601 E Rollins St, Orlando, FL 32803-1248 | 2005-05-23 |
| 1063013845 | Samuel Acosta | Nurse Practitioner | 601 E Rollins St, Orlando, FL 32803-1248 | 2020-11-06 |
| 1972110641 | Laura Nazario | Nurse Practitioner | 601 E Rollins St, Orlando, FL 32803-1248 | 2020-09-28 |
| 1710593561 | Ambber Marie Harms | Advanced Practice Midwife | 601 E Rollins St, Orlando, FL 32803-1248 | 2020-09-17 |
| 1598375628 | Brent Windrow | Registered Nurse | 601 E Rollins St, Orlando, FL 32803-1248 | 2020-08-04 |
| 1689284929 | Brianne Beacham | Anesthesiology | 601 E Rollins St, Orlando, FL 32803-1248 | 2020-08-02 |
| 1205444569 | Jamie Matthew Litteral | Pharmacist | 601 E Rollins St, Orlando, FL 32803-1248 | 2020-07-22 |
| 1639794761 | Idna Angervil | Registered Nurse | 601 E Rollins St, Orlando, FL 32803-1248 | 2020-06-15 |
| 1316567597 | Bryn Nadeau | Occupational Therapist | 601 E Rollins St, Orlando, FL 32803-1248 | 2020-04-17 |
| 1457971665 | Brooke Ashley Koopman | Registered Nurse | 601 E Rollins St, Orlando, FL 32803-1248 | 2020-04-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255952636 | Laiza Souza Tanner | Technician | 500 E Rollins St, Orlando, FL 32803 | 2020-04-27 |
| 1407415342 | Betty Carrol | Marriage & Family Therapist | 1516 E Colonial Dr Ste 100, Orlando, FL 32803 | 2019-06-12 |
| 1326606047 | Anthony Balingit | Physical Therapy Assistant | 1870 Aloma Avenue, Orlando, FL 32803 | 2019-05-29 |
| 1396234795 | Natasha Le Morvan | Technician/Technologist | 1364 Ferris Ave, Orlando, FL 32803 | 2018-05-02 |
| 1306365796 | Sarah E Fischer | Nurse Practitioner | Adventhealth Orlando, 601 E Rollins St, Orlando, FL 32803 | 2017-09-17 |
| 1710404249 | Emilia's Direct Care Agency | Community/Behavioral Health | 3218 E Colonial Dr Rm 118, Orlando, FL 32803 | 2017-08-25 |
| 1760907620 | Kalie Brianne Morris | Speech-Language Pathologist | 1120 Portland Ave Unit 7, Orlando, FL 32803 | 2017-08-11 |
| 1972024271 | Tatiana Ungredda | Psychologist | 5201 Raymond St Ste 424, Orlando, FL 32803 | 2017-06-28 |
| 1063942662 | Michael Thomas | Licensed Practical Nurse | 101 South Bumby Ave, E11, Orlando, FL 32803 | 2017-06-15 |
| 1598209249 | Danielle Marin | Behavioral Analyst | 2807 Edgewater Dr, Orlando, FL 32803 | 2016-12-15 |
| Find all providers in zip 32803 | ||||
| Taxonomy Code | 363LC0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Critical Care Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770040230 | Erica Kristin Nathanson | Nurse Practitioner | 86 W Underwood St, Orlando, FL 32806-1110 | 2019-02-20 |
| 1063978724 | Affitin Alexandria Anderson | Nurse Practitioner | 601 E Rollins St, Orlando, FL 32803-1248 | 2019-02-18 |
| 1235506270 | Daniel Mercado | Nurse Practitioner | 86 W Underwood St, Mp 80, Orlando, FL 32806-2008 | 2015-08-25 |
| 1962748947 | Jeffrey Allen Smith | Nurse Practitioner | 1414 Kuhl Ave, Orlando, FL 32806-2008 | 2012-12-20 |
| 1336305440 | Vanessa Laloggia | Nurse Practitioner | 601 E Rollins St, Orlando, FL 32803 | 2008-07-29 |
| 1619063401 | Jean Saul Schiller | Nurse Practitioner | 86 W Underwood St, Mp 80, Orlando, FL 32806-2008 | 2006-10-05 |
| 1245345800 | James Scott Johnson | Nurse Practitioner | 601 E Rollins St, Critical Care Specialists, Orlando, FL 32803-1248 | 2006-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295342657 | Fritz Gerald Luma | Nurse Practitioner | 121 Nw 2nd Ave Unit 2, Hallandale Beach, FL 33009-4132 | 2020-09-29 |
| 1124645817 | Ashley Danielle Porcaro | Nurse Practitioner | 6133 Branchwood Dr, Lake Worth, FL 33467-7390 | 2020-06-29 |
| 1891324257 | Sara Quijano | Nurse Practitioner | 703 Willow Branch Ct, Lutz, FL 33549-5630 | 2020-04-07 |
| 1174098404 | Kristina Ashley Gass | Nurse Practitioner | 11845 Sw 100th St, Miami, FL 33186-2742 | 2018-10-13 |
| 1275020968 | Eloisa Anne Ello-esma | Nurse Practitioner | W. 8th Street, Jacksonville, FL 32209 | 2018-04-18 |
| 1235676909 | Jennifer Price | Nurse Practitioner | 4853 Saratoga Pl, Land O Lakes, FL 34639-6158 | 2017-01-19 |
| 1598139859 | Kyle Adam Payne | Nurse Practitioner | 6769 Hampshire Blvd, Lakeland, FL 33813-4429 | 2015-11-23 |
| 1144611716 | Hector F Gordillo | Nurse Practitioner | 1611 Nw 12th Ave Ste C402, Miami, FL 33136-1005 | 2015-02-18 |
| 1245518976 | Corrado LLC | Nurse Practitioner | 1698 B West Hibiscus Blvd, Suite B, Melbourne, FL 32901-2639 | 2011-07-29 |
| 1992092464 | Maria E Castro | Nurse Practitioner | 2905 Carolina Ave, Lakeland, FL 33803-4001 | 2011-07-06 |
| 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.