Alyssa Van

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

100 Malton Rd Ste 6
Negaunee, MI 49866-2002

Phone

(906) 485-2347

Fax

(906) 486-1150

NPI assigned

Nov 15, 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

Practice roles

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.

• Great Lakes Recovery Centers

  • Substance Abuse Rehabilitation Facility
  • Marquette, MI
  • NPI 1578545141
  NPD (past)
• Great Lakes Recovery Centers

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Marquette, MI
  • NPI 1932378858
  NPD (past)

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

{
    "created_epoch": "1731628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731628800000",
    "number": "1386469336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MALTON RD",
            "city": "NEGAUNEE",
            "state": "MI",
            "postal_code": "498662001",
            "telephone_number": "906-228-9699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MALTON RD STE 6",
            "city": "NEGAUNEE",
            "state": "MI",
            "postal_code": "498662002",
            "telephone_number": "906-485-2347",
            "fax_number": "906-486-1150"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "241 Wright St Bldg 1",
            "address_purpose": "LOCATION",
            "city": "Marquette",
            "state": "MI",
            "postal_code": "498551955",
            "country_code": "US",
            "telephone_number": "906-228-6545",
            "fax_number": "906-228-8236",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1115 S Hemlock St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Iron Mountain",
            "state": "MI",
            "postal_code": "498013800",
            "country_code": "US",
            "telephone_number": "906-774-2561",
            "fax_number": "906-774-2597",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1101 Ludington St",
            "address_purpose": "LOCATION",
            "city": "Escanaba",
            "state": "MI",
            "postal_code": "498293550",
            "country_code": "US",
            "telephone_number": "906-789-3528",
            "fax_number": "906-786-9801",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2655 Ashmun St",
            "address_purpose": "LOCATION",
            "city": "Sault Sainte Marie",
            "state": "MI",
            "postal_code": "497833711",
            "country_code": "US",
            "telephone_number": "906-632-2522",
            "fax_number": "906-632-2370",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAN",
        "first_name": "ALYSSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-15",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Upper Peninsula Family Solutions Inc
• Kathleen Nimiinangos Urbis, FNP
• Pamela Kristine Valdez, IFSD
• Kayti Valiquette
• Carla Van Roy
• Chloe E Vanlente, LMT
• Allison Verbrigghe, NP-C
• Sarah Walsh
• Cayce Marie West, COTA
• Charlize Tae Whitt

• Community Health Worker in Negaunee, MI
• Providers in Negaunee, MI by specialty
• Community Health Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.