Alysa Jesica Evans, NP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

F383137-01 Issued in NY

Practice address

Riverview Pediatrics
315 2ND Ave
Troy, NY 12182

Phone

(518) 235-6181

Fax

(518) 235-4323

NPI assigned

Aug 31, 2020

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

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Albany Medical College

  • Allergy & Immunology Physician
  • Albany, NY
  • NPI 1497921688
  Medicare reassignment
• Albany Medical College

  • Allergy & Immunology Physician
  • Albany, NY
  • NPI 1386689248
  NPD (past)
• Riverview Pediatrics

  • Pediatrics Physician
  • Troy, NY
  • NPI 1376673319
  NPD (past)

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

{
    "created_epoch": "1598832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601251200000",
    "number": "1164035937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 WILSHIRE DR",
            "city": "DELMAR",
            "state": "NY",
            "postal_code": "120543915",
            "telephone_number": "518-495-8429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RIVERVIEW PEDIATRICS",
            "address_2": "315 2ND AVE",
            "city": "TROY",
            "state": "NY",
            "postal_code": "12182",
            "telephone_number": "518-235-6181",
            "fax_number": "518-235-4323"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6 Wilshire Dr",
            "address_purpose": "LOCATION",
            "city": "Delmar",
            "state": "NY",
            "postal_code": "120543915",
            "country_code": "US",
            "telephone_number": "518-495-8429",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVANS",
        "first_name": "ALYSA",
        "middle_name": "JESICA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-31",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NY",
            "license": "F383137-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Esperti, PT, DPT
• Justine Casey Espinal, LPN
• Amy Elizabeth Esposito
• Rhonda Mae Esposito, NP
• Yvonne Michael Etowa, MD
• Alyssa M Evans, LMHC
• Ashley Lynn Evans, RN
• Experiential Mental Health Counseling LLC
• Robert U Ezeifedi, MD
• Amaryllis A. Fabian, P.T.

• Pediatric Nurse Practitioner in Troy, NY
• Providers in Troy, NY by specialty
• Pediatric Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.