Desiree Elizabeth Allyn, FNP, MSN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

18820 Issued in CA

Practice address

572 Churchill Downs CT
Walnut Creek, CA 94597-7600

Phone

(925) 933-3888

NPI assigned

Apr 22, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing

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.

• Pecos Valley of New Mexico, LLC

  • General Practice Physician
  • Carlsbad, NM
  • NPI 1972569820
  NPD (past)

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

{
    "created_epoch": "1240358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240358400000",
    "number": "1669616587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "572 CHURCHILL DOWNS CT",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945977600",
            "telephone_number": "925-933-3888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "572 CHURCHILL DOWNS CT",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945977600",
            "telephone_number": "925-933-3888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLYN",
        "first_name": "DESIREE",
        "middle_name": "ELIZABETH",
        "credential": "FNP, MSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-22",
        "last_updated": "2009-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "18820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Allen, LMFT
• Allergy & Asthma Medical Group of the Bay Area Inc
• Holly Alley
• Diana Marie Allocco, FNP-BC
• Allstar Medical Supply, Inc.
• Ricardo Almada
• Dorothy Almajose Daffon
• Karen Michelle Alman, R.D.
• Mehrnoosh Almassi, MD
• Megan Danielle Aloisio

• Family Nurse Practitioner in Walnut Creek, CA
• Providers in Walnut Creek, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2009; 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.

Verify at the official NPI Registry.