Active NPI
Alyssa Lucas, MSN, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- West Lake Hills, TX
National Provider Identifier
1114561453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- AP143625
- Practice address
- 5524 Bee Caves Rd Ste H2
West Lake Hills, TX 78746-5246 - Phone
- (512) 710-0551
- Fax
- (512) 717-6337
- NPI assigned
- Oct 30, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP143625 | TX | Primary |
Addresses
Primary practice location
5524 Bee Caves Rd Ste H2
West Lake Hills, TX 78746-5246
Mailing address
PO Box 3041
Marble Falls, TX 78654-3077
Phone (512) 710-0551
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 430813202 | Medicaid | TX |
Other names 1
- Alyssa Bryant
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
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP143625 | TX | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Georgetown Psychological Services PLLC | Multi-Specialty | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704758400000",
"number": "1114561453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3041",
"city": "MARBLE FALLS",
"state": "TX",
"postal_code": "786543077",
"telephone_number": "512-710-0551",
"fax_number": "512-717-6337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5524 BEE CAVES RD STE H2",
"city": "WEST LAKE HILLS",
"state": "TX",
"postal_code": "787465246",
"telephone_number": "512-710-0551",
"fax_number": "512-717-6337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCAS",
"first_name": "ALYSSA",
"credential": "MSN, PMHNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-10-30",
"last_updated": "2024-01-09",
"certification_date": "2024-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "TX",
"license": "AP143625",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "430813202",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ALYSSA",
"last_name": "BRYANT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in West Lake Hills, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.