Active NPI
Alyssa Lempka, FNP-C
- Family Nurse Practitioner
- Sheridan, WY
National Provider Identifier
1336823996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 53212
- Practice address
- 808 Coffeen Ave
Sheridan, WY 82801-5318 - Phone
- (307) 763-8701
- NPI assigned
- Jun 14, 2023
- Last updated
- Nov 2, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 53212 | WY | Primary |
| Registered Nurse | 163W00000X | 41139 | WY |
Addresses
Primary practice location
808 Coffeen Ave
Sheridan, WY 82801-5318
Mailing address
1424 Pulliam Ave
Worland, WY 82401-2824
Phone (307) 250-4862
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679043756 | Medicaid | WY |
Other names 1
- Alyssa Prosceno
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41139 | WY | MD | Registered Nurse |
| 53212 | WY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sisterhood Sanctuary LLC | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Obstetrics & Gynecology Nurse Practitioner
- Sheridan, WY
- NPI 1790649168
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698883200000",
"number": "1336823996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1424 PULLIAM AVE",
"city": "WORLAND",
"state": "WY",
"postal_code": "824012824",
"telephone_number": "307-250-4862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "808 COFFEEN AVE",
"city": "SHERIDAN",
"state": "WY",
"postal_code": "828015318",
"telephone_number": "307-763-8701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEMPKA",
"first_name": "ALYSSA",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-14",
"last_updated": "2023-11-02",
"certification_date": "2023-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WY",
"license": "53212",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WY",
"license": "41139",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1679043756",
"state": "WY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ALYSSA",
"last_name": "PROSCENO",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Sheridan, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.