Individual provider Active NPI

Alyssa Ann Naylor, CNM

  • Women's Health Nurse Practitioner
  • East Syracuse, NY
National Provider Identifier
1679140057
Registry record updated Feb 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
F421517 Issued in NY
Practice address
5000 Brittonfield Pkwy Ste A128
East Syracuse, NY 13057-9228
Phone
(315) 446-4400
Fax
(315) 446-4201
NPI assigned
Jun 5, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 002081 NY
Women's Health Nurse Practitioner 363LW0102X F421517 NY Primary

Addresses

Primary practice location

5000 Brittonfield Pkwy Ste A128
East Syracuse, NY 13057-9228

Mailing address

5000 Brittonfield Pkwy Ste A128
East Syracuse, NY 13057-9228
Phone (315) 446-4400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210731000005 NY Practitioner - Certified Nurse Midwife (CNM) 4789087578 Reassigns benefits to 1 organization
I20230130000910 NY Practitioner - Nurse Practitioner 4789087578 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cny Women'S Healthcare, P.C.Group PAC ID 2567431497, 9 clinicians

Practice addresses (Care Compare)

5000 Brittonfield Pkwy
Suite A128
East Syracuse, NY 13057-9228
Phone (315) 446-4400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
002081NYMDAllergy & Immunology Physician
F421517NYMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cny Women'S Healthcare, P.C. CurrentSince Jan 3, 2023 Accepting new patients
University OB/GYN Associates CurrentSince Aug 16, 2021 Accepting new patients

Locations

5000 Brittonfield Pkwy
Ste A128
East Syracuse, NY 13057
Phone (315) 446-4000

90 Presidential Plz
Syracuse, NY 13202
Phone (315) 464-3836

725 Irving Ave
Ste 600
Syracuse, NY 13210
Phone (315) 464-5162

90 Presidential Plz
Fl 1
Syracuse, NY 13202
Phone (315) 464-5210

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1622851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676246400000",
    "number": "1679140057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 BRITTONFIELD PKWY STE A128",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130579228",
            "telephone_number": "315-446-4400",
            "fax_number": "315-446-4201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 BRITTONFIELD PKWY STE A128",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130579228",
            "telephone_number": "315-446-4400",
            "fax_number": "315-446-4201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAYLOR",
        "first_name": "ALYSSA",
        "middle_name": "ANN",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-05",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NY",
            "license": "002081",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NY",
            "license": "F421517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Syracuse, NY

Sources for this page

Verify at the official NPI Registry.