Alyssa Disoso, APRN, AGACNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

201773 Issued in LA

Practice address

121 Lakeview Cir Ste a
Covington, LA 70433-7521

Phone

(985) 400-5483

NPI assigned

Oct 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

May accept Medicare assignment

Group practices

White Coat Medical Group LLCGroup PAC ID 3779024468, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• At Home Healthcare Home health agency, Ponchatoula, LA, CCN 197555

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• White Coat Medical Group LLC

  • Internal Medicine Physician
  • Slidell, LA
  • NPI 1083479265

  LA

  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Central Home Health of Metairie LLC

  • Home Health Agency
  • Ponchatoula, LA
  • NPI 1235353707
  Care Compare affiliation

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

{
    "created_epoch": "1728950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1497575443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "162 PINE CREEK DR",
            "city": "MADISONVILLE",
            "state": "LA",
            "postal_code": "704479679",
            "telephone_number": "985-502-8556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 LAKEVIEW CIR STE A",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704337521",
            "telephone_number": "985-400-5483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DISOSO",
        "first_name": "ALYSSA",
        "credential": "APRN, AGACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-15",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "201773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diagnostic and Interventional Spinal Care of Louisiana
• Christopher Bradley Dickerson, DDS, MD
• Cassandra M. Dileo, LPC
• Kayla Paternostro Dimartino, BCBA
• Kara Dingess
• Dustin Curtis Dixon, DPT
• DLM and Associates
• Tammy Nguyen DO, MD
• Sara Doctor, LMSW
• Doctors for Women Medical Center

• All providers in Covington, LA
• Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; 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.

Verify at the official NPI Registry.