Active NPI
Alyssa Cerdeira Walton
- Physician Assistant
- Harrodsburg, KY
National Provider Identifier
1295596765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- TC073
- Practice address
- 200 Curry Pike Apt 1
Harrodsburg, KY 40330-9754 - Phone
- (859) 325-6001
- NPI assigned
- Jan 22, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | TC073 | KY | Primary |
Addresses
Primary practice location
200 Curry Pike Apt 1
Harrodsburg, KY 40330-9754
Mailing address
200 Curry Pike Apt 1
Harrodsburg, KY 40330-9754
Phone (859) 325-6001
Other names 1
- Alyssa Howard
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
306 W Main St
Suite 512
Frankfort, KY 40601-1840
Phone (855) 743-2247
828 Lane Allen Rd
Suite 219
Lexington, KY 40504-3659
Phone (260) 483-9081
Hospital & facility affiliations
- Centerwell Home Health
- Vna Health at Home
- Saint Joseph Hospital
- Ephraim McDowell Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TC073 | KY | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eventus WH Midwest Care, LLC | Physician Assistant | Current | Accepting new patients |
Locations
922 State St
Fl 4
Bowling Green, KY 42101
Organizations & group practices 3
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 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Danville, KY
- NPI 1922387976
-
- Rehabilitation Hospital Unit
- Danville, KY
- NPI 1639360472
-
- General Acute Care Hospital
- Danville, KY
- NPI 1821135963
-
- General Acute Care Hospital
- Lexington, KY
- NPI 1437150984
-
- Home Health Agency
- Lexington, KY
- NPI 1083863286
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729209600000",
"number": "1295596765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 CURRY PIKE APT 1",
"city": "HARRODSBURG",
"state": "KY",
"postal_code": "403309754",
"telephone_number": "859-325-6001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 CURRY PIKE APT 1",
"city": "HARRODSBURG",
"state": "KY",
"postal_code": "403309754",
"telephone_number": "859-325-6001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALTON",
"first_name": "ALYSSA",
"middle_name": "CERDEIRA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-01-22",
"last_updated": "2024-10-18",
"certification_date": "2024-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "KY",
"license": "TC073",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ALYSSA",
"last_name": "HOWARD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Harrodsburg, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.
- 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.