Individual provider Active NPI

Taylor Alyssa Bugryn, FNP-BC

  • Family Nurse Practitioner
  • Fairfield, CT
National Provider Identifier
1669293510
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
13792 Issued in CT
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

Updated by the provider on Oct 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250402000738 CT Order and Referring Only - Nurse Practitioner 2163945908

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Interoperability endpoints

  • Direct secure messaging: 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

Verify at the official NPI Registry.