Alyssa Ricevuto, AU.D.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

AY 1469 Issued in FL

Practice address

300 Hebron Ave #202
Glastonbury, CT 06033

Phone

(860) 659-2759

Fax

(860) 657-9692

NPI assigned

Mar 27, 2008

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Connecticut Ear, Nose & Throat Associates, P.C.

  • Otolaryngology Physician
  • Wethersfield, CT
  • NPI 1528168705
  NPD (past)
• Florida ENT Associates, Inc.

  • Otolaryngology Physician
  • West Miami, FL
  • NPI 1184625733
  NPD (past)

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

{
    "created_epoch": "1206576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386288000000",
    "number": "1578735817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 HEBRON AVE #202",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "06033",
            "telephone_number": "860-659-2759",
            "fax_number": "860-657-9692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 HEBRON AVE #202",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "06033",
            "telephone_number": "860-659-2759",
            "fax_number": "860-657-9692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICEVUTO",
        "first_name": "ALYSSA",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-27",
        "last_updated": "2013-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "FL",
            "license": "AY 1469",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001029000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Resilient Nutrition Counseling
• Ok Hee Rhee, MD
• Rheumatology Associates, P.C.
• Rheumatology Partners LLC
• Laurie Ward Rhines, M.A. MARRIAGE AND FA
• Rich Neal- True North Psychotherapy LLC
• Richard D. Fischer, M.D., LLC
• Richard L. Duvall, PH.D, LLC
• Jennifer Richello, DNP, PMHNP-BC, APRN
• Cara D. Riddle, DO

• Audiologist in Glastonbury, CT
• Providers in Glastonbury, CT by specialty
• Audiologist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2013; 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.