Individual provider Active NPI

Alyssa Pollow

  • Pediatric Nurse Practitioner
  • Argyle, TX
National Provider Identifier
1609298587
Registry record updated Aug 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
1130547 Issued in TX
Practice address
812 US Hwy 377 Ste 100
Argyle, TX 76226-4557
Phone
(469) 405-6638
Fax
(940) 240-5517
NPI assigned
Jan 13, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 5578-33 WI
Pediatric Nurse Practitioner 363LP0200X 1130547 TX Primary

Addresses

Primary practice location

812 US Hwy 377 Ste 100
Argyle, TX 76226-4557

Mailing address

812 US Hwy 377 Ste 100
Argyle, TX 76226-4557
Phone (469) 405-6638

Other names 1

  • Alyssa Pollow Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
1130547TXMDPediatric Nurse Practitioner
5578-33WIMDPediatric Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1389571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755648000000",
    "number": "1609298587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 US HWY 377 STE 100",
            "city": "ARGYLE",
            "state": "TX",
            "postal_code": "762264557",
            "telephone_number": "469-405-6638",
            "fax_number": "940-240-5517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 US HWY 377 STE 100",
            "city": "ARGYLE",
            "state": "TX",
            "postal_code": "762264557",
            "telephone_number": "469-405-6638",
            "fax_number": "940-240-5517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLOW",
        "first_name": "ALYSSA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-13",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "WI",
            "license": "5578-33",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "1130547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALYSSA",
            "last_name": "POLLOW",
            "credential": "APNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Argyle, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2025; 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.