Individual provider Active NPI

Alyssa Brooke Huston

  • Family Nurse Practitioner
  • Lynchburg, VA
National Provider Identifier
1275296477
Registry record updated Dec 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024182589 Issued in VA
Practice address
1701 Thomson Dr
Lynchburg, VA 24501-1118
Phone
(434) 200-4522
Fax
(434) 200-6086
NPI assigned
Oct 15, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024182589 VA Primary

Addresses

Primary practice location

1701 Thomson Dr
Lynchburg, VA 24501-1118

Mailing address

1465 Skyway Dr
Moneta, VA 24121-4459
Phone (812) 374-2121

Other practice location 1

1073 Haymore Dr
Moneta, VA 24121-6374
Phone (812) 374-2121

Other practice location 2

6701 Peters Creek Rd
Roanoke, VA 24019-4060
Phone (800) 765-7130

Other names 1

  • Alyssa Brooke Greathouse Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, NC, OH3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20211123000415 VA Practitioner - Nurse Practitioner 5597154054 Reassigns benefits to 6 organizations
I20240301003812 NC Practitioner - Nurse Practitioner 5597154054 Reassigns benefits to 3 organizations
I20241217000886 OH Practitioner - Nurse Practitioner 5597154054 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centra Medical Group LLCGroup PAC ID 4789606088, 709 clinicians

Practice addresses (Care Compare)

4830 Rucker Rd
Moneta, VA 24121-5281
Phone (540) 297-7181

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Eventus Wholehealth Aco LLC CurrentSince Aug 1, 2024 Accepting new patients
Eventus WH Mid-Atlantic, LLC CurrentSince Oct 1, 2024 Accepting new patients
Premier Geriatric Solutions PLLC CurrentSince Oct 1, 2021 Accepting new patients
Eventus Premier Healthcare LLC CurrentSince Aug 1, 2024 Accepting new patients
Eventus WH PLLC Care, LLC CurrentSince Dec 1, 2025 Accepting new patients
Hospitalist Medicine Physicians of Washington Tacoma PLLC CurrentSince Jan 14, 2024 Accepting new patients

Locations

139 Apex Ln
Mount Airy, NC 27030
Phone (336) 320-2185

160 Mine Lake Ct
#200
Raleigh, NC 27615
Phone (404) 805-4288

158 Chestnut Grove Church Rd
Sparta, NC 28675
Phone (336) 429-5934

3958 Brown Park Dr
Ste D
Hilliard, OH 43026

1475 Virginia Ave
Harrisonburg, VA 22802
Phone (540) 564-3400

250 Browns Hill Ct
Midlothian, VA 23114
Phone (424) 328-6526

999 Waterside Dr
Ste 2525
Norfolk, VA 23510
Phone (757) 777-3787

6701 Peters Creek Rd
Ste 110
Roanoke, VA 24019
Phone (800) 765-7130

Organizations & group practices 8

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1634256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671321600000",
    "number": "1275296477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1465 SKYWAY DR",
            "city": "MONETA",
            "state": "VA",
            "postal_code": "241214459",
            "telephone_number": "812-374-2121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 THOMSON DR",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245011118",
            "telephone_number": "434-200-4522",
            "fax_number": "434-200-6086"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1073 Haymore Dr",
            "address_purpose": "LOCATION",
            "city": "Moneta",
            "state": "VA",
            "postal_code": "241216374",
            "country_code": "US",
            "telephone_number": "812-374-2121",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6701 Peters Creek Rd",
            "address_purpose": "LOCATION",
            "city": "Roanoke",
            "state": "VA",
            "postal_code": "240194060",
            "country_code": "US",
            "telephone_number": "800-765-7130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUSTON",
        "first_name": "ALYSSA",
        "middle_name": "BROOKE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-15",
        "last_updated": "2022-12-18",
        "certification_date": "2022-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024182589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALYSSA",
            "last_name": "GREATHOUSE",
            "middle_name": "BROOKE",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lynchburg, VA

Sources for this page

Verify at the official NPI Registry.