Individual provider Active NPI

Alyssa McDaniel, ARNP

  • Nurse Practitioner
  • Olympia, WA
National Provider Identifier
1033005095
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP70030656 Issued in WA
Practice address
424 Lilly Rd NE
Olympia, WA 98506-5132
Phone
(360) 459-1700
NPI assigned
Jun 16, 2025
Last updated
Aug 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP70030656 WA Primary

Addresses

Primary practice location

424 Lilly Rd NE
Olympia, WA 98506-5132

Mailing address

14968 101St Ave SE
Yelm, WA 98597-8796

Other names 1

  • Alyssa Garrett Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20250905004335 WA Practitioner - Nurse Practitioner 3173025327 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Vanderbilt University School of Medicine, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Olympic Dermatology and Laser Clinic P SGroup PAC ID 5991791790, 6 clinicians

Practice addresses (Care Compare)

424 Lilly Rd NE
Olympia, WA 98506-5132
Phone (360) 459-1700

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP70030656WAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Olympic Dermatology and Laser Clinic P S CurrentSince Aug 22, 2025 Accepting new patients

Locations

424 Lilly Rd NE
Olympia, WA 98506
Phone (360) 292-1708

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1750032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1033005095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14968 101ST AVE SE",
            "city": "YELM",
            "state": "WA",
            "postal_code": "985978796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 LILLY RD NE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065132",
            "telephone_number": "360-459-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDANIEL",
        "first_name": "ALYSSA",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-16",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP70030656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALYSSA",
            "last_name": "GARRETT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Olympia, WA

Sources for this page

Verify at the official NPI Registry.