Alyssa Marie Dy

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95030365 Issued in CA

Practice address

4902 Irvine Center Dr Ste 105
Irvine, CA 92604-3334

Phone

(949) 649-0503

NPI assigned

Jan 12, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1705017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719792000000",
    "number": "1306617840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 FIXIE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926181033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4902 IRVINE CENTER DR STE 105",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926043334",
            "telephone_number": "949-649-0503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DY",
        "first_name": "ALYSSA MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-12",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95123122",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95030365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Duthie
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• Eran Duzman, M.D.
• Karen Dwyer
• Dxome Clia Laboratory, Inc.
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• Ea One LLC
• Andersen Eagle
• Mona Kiyomi Eakin, AMFT

• Family Nurse Practitioner in Irvine, CA
• Providers in Irvine, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.