Alyssa Christine Dodd, MS, LAT, ATC, OTC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

312204 Issued in LA

Practice address

15813 Paul Vega MD Dr Ste 100
Hammond, LA 70403-1431

Phone

(985) 230-2663

NPI assigned

Jun 15, 2016

Reactivated

Oct 4, 2022

Last updated

Feb 16, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Alyssa Christine Monahan Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1465948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676505600000",
    "number": "1013367689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15813 PAUL VEGA MD DR STE 100",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704031431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15813 PAUL VEGA MD DR STE 100",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704031431",
            "telephone_number": "985-230-2663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DODD",
        "first_name": "ALYSSA",
        "middle_name": "CHRISTINE",
        "name_prefix": "Mrs.",
        "credential": "MS, LAT, ATC, OTC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-15",
        "last_updated": "2023-02-16",
        "certification_date": "2023-01-30",
        "deactivation_date": "2019-11-19",
        "reactivation_date": "2022-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "LA",
            "license": "312204",
            "primary": true
        },
        {
            "code": "246ZX2200X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Orthopedic Assistant",
            "state": "NU",
            "license": "22-1108",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALYSSA",
            "last_name": "MONAHAN",
            "middle_name": "CHRISTINE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• David Malcom Doan, MD
• Kevin Bryan Doan, BSN, CRNA
• David O Dobie, CRNA
• Telihia Nicole Dobson, MSW
• Doctors Hospice Northshores, LLC (ACG Hospice)
• Megan Marie Dodge, D.O.
• Daniel Jack Dodson, M.D.
• Thao Phuong Dola, M.D.
• Brett Michael Domangue
• Jody Neal Domingue

• Athletic Trainer in Hammond, LA
• Providers in Hammond, LA by specialty
• Athletic Trainer in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2023; 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.