Individual provider Active NPI

Alyson Rae Morais, FNP

  • Family Nurse Practitioner
  • North Dighton, MA
National Provider Identifier
1306488564
Registry record updated Sep 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2289179 Issued in MA
Practice address
600 Old Somerset Ave
North Dighton, MA 02764
Phone
(508) 824-7557
Fax
(508) 824-8296
NPI assigned
Oct 9, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2021

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 2289179 MA Primary

Addresses

Primary practice location

600 Old Somerset Ave
North Dighton, MA 02764

Mailing address

600 Old Somerset Ave, PO Box 586
North Dighton, MA 02764
Phone (508) 824-7557

Other identifiers 1

IdentifierTypeStateIssuer
110158427AMedicaidMA

Other names 1

  • Alyson Rae Gwozdz Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191226001112 MA Practitioner - Nurse Practitioner 2961836085 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2289179MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Doctors James and Kelly Hoye Partners in Family Care Family Medicine CurrentSince Nov 14, 2019 Accepting new patients

Locations

600 Old Somerset Ave
North Dighton, MA 02764
Phone (508) 822-1135

Interoperability endpoints

  • Direct secure messaging: alyson.gwozdz.1@11568.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1570579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631664000000",
    "number": "1306488564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 OLD SOMERSET AVE, PO BOX 586",
            "city": "NORTH DIGHTON",
            "state": "MA",
            "postal_code": "02764",
            "telephone_number": "508-824-7557",
            "fax_number": "508-824-8296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 OLD SOMERSET AVE",
            "city": "NORTH DIGHTON",
            "state": "MA",
            "postal_code": "02764",
            "telephone_number": "508-824-7557",
            "fax_number": "508-824-8296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORAIS",
        "first_name": "ALYSON",
        "middle_name": "RAE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-09",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "2289179",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110158427A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALYSON",
            "last_name": "GWOZDZ",
            "middle_name": "RAE",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in North Dighton, MA

Sources for this page

Verify at the official NPI Registry.