Individual provider Active NPI

Alyssa Millar, FNP-C

  • Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1134709595
Registry record updated Jan 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
256283 Issued in AZ
Practice address
6707 N 19TH Ave
Phoenix, AZ 85015-1104
Phone
(602) 693-1183
NPI assigned
Apr 10, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 256283 AZ
Nurse Practitioner 363L00000X 256283 AZ Primary
Primary Care Nurse Practitioner 363LP2300X 256283 AZ

Addresses

Primary practice location

6707 N 19TH Ave
Phoenix, AZ 85015-1104

Mailing address

4388 E Renee Dr
Phoenix, AZ 85050-4308
Phone (928) 301-9603

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL EPIC Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
256283AZMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Honorhealth Ambulatory CurrentSince May 2, 2021 Accepting new patients
Honorhealth Ambulatory Current Accepting new patients
Honorhealth Ambulatory CurrentSince May 2, 2021 Accepting new patients
Thompson Peak Family Care, PC PastSince Apr 20, 2021 Accepting new patients
Honorhealth Ambulatory PastSince Apr 20, 2021 Accepting new patients

Locations

1124 E McKellips Rd
Ste 110
Mesa, AZ 85203
Phone (480) 882-4509

340 E Palm Ln
Ste A175
Phoenix, AZ 85004
Phone (602) 386-1100

9250 W Thomas Rd
Ste 300
Phoenix, AZ 85037
Phone (602) 386-1100

2500 W Utopia Rd
Ste 100
Phoenix, AZ 85027
Phone (623) 683-4462

10510 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 323-1250

20201 N Scottsdale Healthcare Dr
Ste 200
Scottsdale, AZ 85255
Phone (480) 993-2269

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3660/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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": "1618012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768694400000",
    "number": "1134709595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4388 E RENEE DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850504308",
            "telephone_number": "928-301-9603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6707 N 19TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850151104",
            "telephone_number": "602-693-1183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLAR",
        "first_name": "ALYSSA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-10",
        "last_updated": "2026-01-18",
        "certification_date": "2026-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "AZ",
            "license": "256283",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "256283",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "AZ",
            "license": "256283",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "EPIC",
            "affiliation": "N",
            "endpointDescription": "EPIC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EMR",
            "address_1": "340 E Palm Ln # A175",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850044603",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.