Individual provider Active NPI

Alyssa J Krone, MEDICAL FOSTER HOME

  • Personal Care Attendant
  • Daytona Beach, FL
National Provider Identifier
1356813901
Registry record updated Jan 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
Practice address
1303 S Shangri la Dr
Daytona Beach, FL 32119-1502
Phone
(386) 690-8441
NPI assigned
Dec 20, 2018
Last updated
Jan 25, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X Primary
Peer Specialist 175T00000X

Addresses

Primary practice location

1303 S Shangri la Dr
Daytona Beach, FL 32119-1502

Mailing address

1303 S Shangri la Dr
Daytona Beach, FL 32119-1502
Phone (386) 690-8441

Other identifiers 1

IdentifierTypeStateIssuer
015337600MedicaidFL

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

NPI Registry JSON

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

{
    "created_epoch": "1545264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548374400000",
    "number": "1356813901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 S SHANGRI LA DR",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321191502",
            "telephone_number": "386-690-8441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 S SHANGRI LA DR",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321191502",
            "telephone_number": "386-690-8441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRONE",
        "first_name": "ALYSSA",
        "middle_name": "J",
        "credential": "MEDICAL FOSTER HOME",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-20",
        "last_updated": "2019-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015337600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Daytona Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2019; 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.