Individual provider Active NPI

Alyssa Hulbert, FNP

  • Family Nurse Practitioner
  • Syracuse, NY
National Provider Identifier
1275264137
Registry record updated Jul 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F349701-01 Issued in NY
Practice address
195 Intrepid LN
Syracuse, NY 13205-2544
Phone
(315) 469-8700
NPI assigned
Jun 22, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1153102 TX
Family Nurse Practitioner 363LF0000X F349701-01 NY Primary

Addresses

Primary practice location

195 Intrepid LN
Syracuse, NY 13205-2544

Mailing address

2319 Wellington Dr S
Cazenovia, NY 13035-9439
Phone (315) 706-9273

Other practice location 1

3610 N Josey Ln Ste 223
Carrollton, TX 75007-3150
Phone (307) 284-3227

Other practice location 2

139 Centre St Ph 120
New York, NY 10013-4559
Phone (888) 731-8994

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL eIVF 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
F349701-01NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Womens Care PC Past Accepting new patients
Cny Fertility Center Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: alyssa.hulbert.1@27069.direct.athenahealth.com

Organizations & group practices 2

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": "1655856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751846400000",
    "number": "1275264137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2319 WELLINGTON DR S",
            "city": "CAZENOVIA",
            "state": "NY",
            "postal_code": "130359439",
            "telephone_number": "315-706-9273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 INTREPID LN",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132052544",
            "telephone_number": "315-469-8700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3610 N Josey Ln Ste 223",
            "address_purpose": "LOCATION",
            "city": "Carrollton",
            "state": "TX",
            "postal_code": "750073150",
            "country_code": "US",
            "telephone_number": "307-284-3227",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "139 Centre St Ph 120",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100134559",
            "country_code": "US",
            "telephone_number": "888-731-8994",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HULBERT",
        "first_name": "ALYSSA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-22",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1153102",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F349701-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "eIVF",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "195 Intrepid Ln",
            "city": "Syracuse",
            "state": "NY",
            "country_code": "US",
            "postal_code": "132052544",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.