Active NPI
Taylor Alyssa Bugryn, FNP-BC
- Family Nurse Practitioner
- Fairfield, CT
National Provider Identifier
1669293510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 13792
- Practice address
- 501 Kings Hwy E Ste 203
Fairfield, CT 06825-4861 - Phone
- (203) 814-1068
- NPI assigned
- Oct 23, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 13792 | CT | Primary |
Addresses
Primary practice location
501 Kings Hwy E Ste 203
Fairfield, CT 06825-4861
Mailing address
501 Kings Hwy E Ste 203
Fairfield, CT 06825-4861
Phone (203) 814-1068
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250402000738 | CT | Order and Referring Only - Nurse Practitioner | 2163945908 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Interoperability endpoints
- ms_tbugryn@landmarkhealth-direct.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1729641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729641600000",
"number": "1669293510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 KINGS HWY E STE 203",
"city": "FAIRFIELD",
"state": "CT",
"postal_code": "068254861",
"telephone_number": "203-814-1068"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 KINGS HWY E STE 203",
"city": "FAIRFIELD",
"state": "CT",
"postal_code": "068254861",
"telephone_number": "203-814-1068"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUGRYN",
"first_name": "TAYLOR",
"middle_name": "ALYSSA",
"name_prefix": "Mrs.",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-10-23",
"last_updated": "2024-10-23",
"certification_date": "2024-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CT",
"license": "13792",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairfield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.