Individual provider Active NPI

Alyssa Marie Viet Vu, APRN, FNP-C

  • Family Nurse Practitioner
  • Morgan City, LA
National Provider Identifier
1548708985
Registry record updated Oct 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
227388 Issued in LA
Practice address
1055 David Dr
Morgan City, LA 70380-1317
Phone
(985) 384-2430
Fax
(985) 384-2473
NPI assigned
Feb 6, 2017
Last updated
Oct 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal Newborn Registered Nurse 163WM0102X RN138458 LA
Family Nurse Practitioner 363LF0000X 227388 LA Primary

Addresses

Primary practice location

1055 David Dr
Morgan City, LA 70380-1317

Mailing address

1055 David Dr
Morgan City, LA 70380-1317
Phone (985) 384-2430

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20230719002496 LA Practitioner - Nurse Practitioner 9830559004 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN138458LAMDMaternal Newborn Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Calcasieu Urgent Care, LLC CurrentSince Jun 22, 2023 Accepting new patients
Calcasieu Urgent Care LLC CurrentSince Jun 22, 2023 Accepting new patients
Pediatric Clinic of St Mary Parish Apmc PastSince Dec 1, 2022 Accepting new patients

Locations

2640 Country Club Rd
Ste 400
Lake Charles, LA 70605
Phone (337) 426-0919

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1486339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729814400000",
    "number": "1548708985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 DAVID DR",
            "city": "MORGAN CITY",
            "state": "LA",
            "postal_code": "703801317",
            "telephone_number": "985-384-2430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 DAVID DR",
            "city": "MORGAN CITY",
            "state": "LA",
            "postal_code": "703801317",
            "telephone_number": "985-384-2430",
            "fax_number": "985-384-2473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIET VU",
        "first_name": "ALYSSA",
        "middle_name": "MARIE",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-06",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0102X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Maternal Newborn",
            "state": "LA",
            "license": "RN138458",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "227388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgan City, LA

Sources for this page

Verify at the official NPI Registry.