Active NPI
Alyssa Rocio Menendez, FNP-C
- Family Nurse Practitioner
- Worcester, MA
National Provider Identifier
1174347587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN2371366
- Practice address
- 67 Millbrook St Ste 406a
Worcester, MA 01606-2845 - Phone
- (508) 283-4513
- NPI assigned
- Nov 12, 2024
- Last updated
- Nov 12, 2024
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN2371366 | MA | Primary |
Addresses
Primary practice location
67 Millbrook St Ste 406a
Worcester, MA 01606-2845
Mailing address
67 Millbrook St Ste 406a
Worcester, MA 01606-2845
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integral Health Partners LLC | Current | Accepting new patients |
Locations
67 Millbrook St
Ste 406B
Worcester, MA 01606
Phone (413) 512-1529
67 Millbrook St
Ste 406A
Worcester, MA 01606
Phone (508) 283-4513
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Nurse Practitioner
- Worcester, MA
- NPI 1679183545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731369600000",
"number": "1174347587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "67 MILLBROOK ST STE 406A",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016062845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "67 MILLBROOK ST STE 406A",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016062845",
"telephone_number": "508-283-4513"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENENDEZ",
"first_name": "ALYSSA",
"middle_name": "ROCIO",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-11-12",
"last_updated": "2024-11-12",
"certification_date": "2024-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MA",
"license": "RN2371366",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.