Active NPI
Lyssa Rye, ARNP
- Nurse Practitioner
- Raleigh, NC
National Provider Identifier
1083090666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 5009494
- Practice address
- 3610 Bush St
Raleigh, NC 27609 - Phone
- (919) 876-3130
- NPI assigned
- Aug 5, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 5009494 | NC | |
| Nurse Practitioner | 363L00000X | 5009494 | NC | Primary |
| Adult Health Nurse Practitioner | 363LA2200X | 5009494 | NC |
Addresses
Primary practice location
3610 Bush St
Raleigh, NC 27609
Mailing address
1502 W NC Highway 54
Ste 103
Durham, NC 27707-5572
Other practice location 1
600 W Hillsboro Blvd
Suite 110
Deerfield Bch, FL 33441
Phone (850) 573-6291
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5009494 | NC | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolina Partners in Mental | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Non-Pharmacy Dispensing Site
- Raleigh, NC
- NPI 1861810715
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534723200000",
"number": "1083090666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1502 W NC HIGHWAY 54",
"address_2": "STE 103",
"city": "DURHAM",
"state": "NC",
"postal_code": "277075572"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3610 BUSH ST",
"city": "RALEIGH",
"state": "NC",
"postal_code": "27609",
"telephone_number": "919-876-3130"
}
],
"practiceLocations": [
{
"address_1": "600 W Hillsboro Blvd",
"address_2": "Suite 110",
"address_purpose": "LOCATION",
"city": "Deerfield Bch",
"state": "FL",
"postal_code": "33441",
"country_code": "US",
"telephone_number": "850-573-6291",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RYE",
"first_name": "LYSSA",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-05",
"last_updated": "2018-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "NC",
"license": "5009494",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "5009494",
"primary": true
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NC",
"license": "5009494",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.