Allysa Stone, REGISTERED NURSE

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

95174334 Issued in CA

Practice address

8078 E Santa Ana Canyon Rd
Anaheim, CA 92808-1108

Phone

(714) 974-2900

NPI assigned

Dec 8, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 2

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": "1638921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638921600000",
    "number": "1447919378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8078 E SANTA ANA CANYON RD",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928081108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8078 E SANTA ANA CANYON RD",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928081108",
            "telephone_number": "714-974-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STONE",
        "first_name": "ALLYSA",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-08",
        "last_updated": "2021-12-08",
        "certification_date": "2021-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "CA",
            "license": "95174334",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PPO,HMO & MEDICARE",
            "identifier": "NONE",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.providence.org/locations/st-jude-heritage-medical-group",
            "affiliation": "N",
            "endpointDescription": "Organization Website",
            "address_1": "8078 E Santa Ana Canyon Rd",
            "city": "Anaheim",
            "state": "CA",
            "country_code": "US",
            "postal_code": "928081108",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.providence.org/locations/st-jude-heritage-medical-group",
            "affiliation": "N",
            "address_1": "8078 E Santa Ana Canyon Rd",
            "city": "Anaheim",
            "state": "CA",
            "country_code": "US",
            "postal_code": "928081108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Cathy Lynn Stills, MFT
• Sydney Lynn Stockton, BS, BA
• Matthew Wray Stofle, PHARM.D.
• Daameonia Stokes
• Adolph Stone Jr.
• Katherine Stone
• Kathy Ann Stone, LMFT
• John Earl Stouffer, MD
• Adelaida Stout
• Bethany Strader, DPT

• General Practice Registered Nurse in Anaheim, CA
• Providers in Anaheim, CA by specialty
• General Practice Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2021; 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.