Individual provider Active NPI

Alyssa Johnson, CRNA

  • Certified Registered Nurse Anesthetist
  • New Castle, DE
National Provider Identifier
1083099576
Registry record updated Jul 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
L6-0A00732 Issued in DE
Practice address
2 Reads Way
#201
New Castle, DE 19720-1607
Phone
(302) 709-4504
NPI assigned
Jul 25, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X L6-0A00732 DE Primary

Addresses

Primary practice location

2 Reads Way
#201
New Castle, DE 19720-1607

Mailing address

2 Reads Way
#201
New Castle, DE 19720-1607

Other names 1

  • Alyssa Pearson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151022001509 DE Practitioner - Certified Registered Nurse Anesthetist (Crna) 8729397351 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Services PAGroup PAC ID 9537064498, 201 clinicians

Practice addresses (Care Compare)

2600 Glasgow Ave
Suite 226
Newark, DE 19702-5709
Phone (302) 836-3539

4755 Ogletown Stanton Rd
Newark, DE 19718-2200
Phone (302) 733-1000

501 W 14TH St
Wilmington, DE 19801-1013
Phone (302) 477-3300

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Services PA CurrentSince Sep 14, 2015 Accepting new patients

Locations

2 Reads Way
Ste 201
New Castle, DE 19720
Phone (302) 709-4504

2600 Glasgow Ave
Ste 226
Newark, DE 19702
Phone (302) 836-3539

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.

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": "1437782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437782400000",
    "number": "1083099576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 READS WAY",
            "address_2": "#201",
            "city": "NEW CASTLE",
            "state": "DE",
            "postal_code": "197201607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 READS WAY",
            "address_2": "#201",
            "city": "NEW CASTLE",
            "state": "DE",
            "postal_code": "197201607",
            "telephone_number": "302-709-4504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ALYSSA",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-25",
        "last_updated": "2015-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "DE",
            "license": "L6-0A00732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALYSSA",
            "last_name": "PEARSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New Castle, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.