Active NPI
Alyssa M Egan
- Student in an Organized Health Care Education/Training Program
- Fort Bragg, NC
National Provider Identifier
1679061311
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- C-8247 Ardennes Street
Fort Bragg, NC 28310-1035 - Phone
- (910) 807-1720
- NPI assigned
- Apr 27, 2018
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
C-8247 Ardennes Street
Fort Bragg, NC 28310-1035
Mailing address
1115 W Rowan St Apt 2
Fayetteville, NC 28305-4641
Phone (307) 272-1137
Other practice location 1
3800 University Dr
Cincinnati, OH 45207-1035
Phone (307) 272-1137
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659052800000",
"number": "1679061311",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1115 W ROWAN ST APT 2",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283054641",
"telephone_number": "307-272-1137"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "C-8247 ARDENNES STREET",
"city": "FORT BRAGG",
"state": "NC",
"postal_code": "283101035",
"telephone_number": "910-807-1720"
}
],
"practiceLocations": [
{
"address_1": "3800 University Dr",
"address_purpose": "LOCATION",
"city": "Cincinnati",
"state": "OH",
"postal_code": "452071035",
"country_code": "US",
"telephone_number": "307-272-1137",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EGAN",
"first_name": "ALYSSA",
"middle_name": "M",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-27",
"last_updated": "2022-07-29",
"certification_date": "2022-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Bragg, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.