Alissa Becker, CRNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

4704286259 Issued in MI

Practice address

19725 Allen Rd
Ste 102
Brownstown TWP, MI 48183-1090

Phone

(734) 479-7246

Fax

(734) 479-0214

NPI assigned

Nov 12, 2014

Last updated

May 29, 2017By the provider in NPPES

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

Other names 1

• Alissa Hagen Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Internal Medicine Solutions PLLC

  dba Center for Internal Medicine

  • Internal Medicine Physician
  • Livonia, MI
  • NPI 1932746245
  NPD (past)

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

{
    "created_epoch": "1415750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496016000000",
    "number": "1164828513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19725 ALLEN RD",
            "address_2": "STE 102",
            "city": "BROWNSTOWN TWP",
            "state": "MI",
            "postal_code": "481831090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19725 ALLEN RD",
            "address_2": "STE 102",
            "city": "BROWNSTOWN TWP",
            "state": "MI",
            "postal_code": "481831090",
            "telephone_number": "734-479-7246",
            "fax_number": "734-479-0214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKER",
        "first_name": "ALISSA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-12",
        "last_updated": "2017-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MI",
            "license": "4704286259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALISSA",
            "last_name": "HAGEN",
            "credential": "CRNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Badhwar Associates, MD PC (Badhwar Associates)
• Avlokita Badhwar, M.D.
• Junita Bahroos, D.D.S.,P.C.
• Andrea Bates, OTRL
• Khandyce Alaysha Bates
• Kevin J Berlin, DO
• Antoinette Berry
• Nabil Bhatti, PHARMD
• Ryan Lee Blackstock, PSY.D., LP
• Edward A Blanzy, DO

• Adult Health Nurse Practitioner in Brownstown TWP, MI
• Providers in Brownstown TWP, MI by specialty
• Adult Health Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2017; 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.