Alyssa Isabel Fallon

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

133051654405 Issued in UT

Practice address

248 E 13800 S Ste 3
Draper, UT 84020-5011

Phone

(801) 987-8384

NPI assigned

May 13, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• La Belle Vie Medical Care and Aesthetics

  • Family Nurse Practitioner
  • Draper, UT
  • NPI 1639592611
  NPD (past)

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

{
    "created_epoch": "1747094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754870400000",
    "number": "1104617992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "826 E 1080 N",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840431356",
            "telephone_number": "760-585-8659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "248 E 13800 S STE 3",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840205011",
            "telephone_number": "801-987-8384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALLON",
        "first_name": "ALYSSA",
        "middle_name": "ISABEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-13",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "133051654405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Fabry
• Kelly A Faddis, DDS
• Camilla Falatea
• Atu Tonga Maile Falevai, CSW
• Falling Creek Dental LLC
• Kimberly Farley
• Kelly Reese Farmer
• Rebecca Ann Farnsworth, APRN
• Hannah Farnworth, LMFT
• Karla A Feindt, MD

• Family Nurse Practitioner in Draper, UT
• Providers in Draper, UT by specialty
• Family Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2025; 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.