Alyssa Dyan Fuehrer, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA 60118221 Issued in WA

Practice address

915 Anderson Dr
Aberdeen, WA 98520-1006

Phone

(360) 537-4130

NPI assigned

Nov 2, 2009

Last updated

Aug 6, 2013By the provider in NPPES

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 names 1

• Ms. Alyssa Dyan Hawn Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1257120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375747200000",
    "number": "1639405251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24520 GRAND CENTRAL PKWY",
            "address_2": "APARTMENT LH",
            "city": "BELLEROSE",
            "state": "NY",
            "postal_code": "114262741",
            "telephone_number": "206-412-7217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 ANDERSON DR",
            "city": "ABERDEEN",
            "state": "WA",
            "postal_code": "985201006",
            "telephone_number": "360-537-4130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUEHRER",
        "first_name": "ALYSSA",
        "middle_name": "DYAN",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-02",
        "last_updated": "2013-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA 60118221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALYSSA",
            "last_name": "HAWN",
            "middle_name": "DYAN",
            "prefix": "MS.",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• June Edith Francis
• Robin A. Franciscovich, MD
• Amanda Leona Franklin
• Fred R Loertscher DC PS (Loertscher Chiropractic Clinic)
• Elissa Freudenberg, PA-C
• Susan C Gallegos, CDP
• Phillip D Gamroth, COTA
• Erica Garcia
• Katha Suzanne Gazda, FNP-C
• George M. Whitehead D.D.S., PS

• Physician Assistant in Aberdeen, WA
• Providers in Aberdeen, WA by specialty
• Physician Assistant in Washington

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