Active NPI
Alyssa Janine Pritikin, DNP, FNP-C, RN
- Family Nurse Practitioner
- Boise, ID
National Provider Identifier
1497420160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 60475
- Practice address
- 821 S Owyhee St
Boise, ID 83705-2202 - Phone
- (208) 371-1177
- NPI assigned
- Aug 13, 2021
- 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 | 60475 | ID | Primary |
Addresses
Primary practice location
821 S Owyhee St
Boise, ID 83705-2202
Mailing address
821 S Owyhee St
Boise, ID 83705-2202
Phone (208) 371-1177
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60475 | ID | MD | Family Nurse Practitioner |
Interoperability endpoints
- alyssa.pritikin@811393367080964.direct.elationemr.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628812800000",
"number": "1497420160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "821 S OWYHEE ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837052202",
"telephone_number": "208-371-1177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "821 S OWYHEE ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837052202",
"telephone_number": "208-371-1177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRITIKIN",
"first_name": "ALYSSA",
"middle_name": "JANINE",
"name_prefix": "Dr.",
"credential": "DNP, FNP-C, RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-13",
"last_updated": "2021-08-13",
"certification_date": "2021-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "ID",
"license": "60475",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.