Active NPI
Alysha Zoe Nakoneczny, FNP
- Family Nurse Practitioner
- Petersburg, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0024172199
- Practice address
- 32 W Washington St
Suite B
Petersburg, VA 23803-4224 - Phone
- (804) 431-3400
- NPI assigned
- Dec 10, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0024172199 | VA | Primary |
Addresses
Primary practice location
32 W Washington St
Suite B
Petersburg, VA 23803-4224
Mailing address
2308 Rawlings CT
Henrico, VA 23231-1812
Phone (314) 541-2247
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- 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
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1362 Tappahannock Blvd
Tappahannock, VA 22560-9309
Phone (804) 443-5378
1510 N 28TH St
Suite 308
Richmond, VA 23223-5311
Phone (804) 644-1665
Hospital & facility affiliations
- Bon Secours St Marys Hospital
- Bon Secours Richmond Community Hospital
- Bon Secours Memorial Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bon Secours Medical Group Richmond Primary Care LLC | Current | Accepting new patients |
Locations
611 Watkins Centre Pkwy
Ste 250
Midlothian, VA 23114
Phone (804) 423-8470
1362 Tappahannock Blvd
Tappahannock, VA 22560
Phone (804) 443-5378
Interoperability endpoints
- anakoneczny1154108@direct.bsmhealth.org
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.
-
- Family Medicine Physician
- Richmond, VA
- NPI 1861050635
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Mechanicsville, VA
- NPI 1912969064
-
- Clinical Medical Laboratory
- Richmond, VA
- NPI 1588129480
Hospital
-
- General Acute Care Hospital
- Richmond, VA
- NPI 1962464016
-
- General Acute Care Hospital
- Richmond, VA
- NPI 1366404428
-
- Sleep Disorder Diagnostic Clinic/Center
- Mechanicsville, VA
- NPI 1457687543
Hospital
-
- Sleep Disorder Diagnostic Clinic/Center
- Midlothian, VA
- NPI 1548596638
Hospital
-
- Cardiac Rehabilitation Clinic/Center
- Richmond, VA
- NPI 1902132095
Hospital
-
- Sleep Disorder Diagnostic Clinic/Center
- Richmond, VA
- NPI 1992031348
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1418169600000",
"number": "1376941195",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2308 RAWLINGS CT",
"city": "HENRICO",
"state": "VA",
"postal_code": "232311812",
"telephone_number": "314-541-2247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32 W WASHINGTON ST",
"address_2": "SUITE B",
"city": "PETERSBURG",
"state": "VA",
"postal_code": "238034224",
"telephone_number": "804-431-3400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAKONECZNY",
"first_name": "ALYSHA",
"middle_name": "ZOE",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-12-10",
"last_updated": "2014-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024172199",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Petersburg, VA
- My Life Has Destiny Consulting and Billing Services LLC
- My Life Has Destiny Home Care Services LLC
- My Life Has Destiny Transportation Services LLC
- Tiffany Rachel Myrga, LPC
- Nadiya House, LLC
- Sajid Naveed, MD
- Juliana Naw
- Craig Edward Nelson, O.T.R
- Sarah K. D. Nelson, M.S. CCC-SLP
- Sharon Marie Nelson, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2014; 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.