Individual provider Active NPI

Alyssa Fayth Dorothy, NP

  • Adult Health Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1689147985
Registry record updated Apr 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN11001337 Issued in FL
Practice address
655 W 8TH St
Jacksonville, FL 32209-6511
Phone
(904) 244-0411
NPI assigned
Jan 9, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2026

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

Specialties & licenses 11

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 0024180191 VA
Adult Health Nurse Practitioner 363LA2200X APRN11001337 FL Primary
Critical Care Medicine Registered Nurse 163WC0200X RN9358856 FL
Nurse Practitioner 363L00000X 0024180191 VA
Acute Care Nurse Practitioner 363LA2100X 11001337 FL
Adult Health Nurse Practitioner 363LA2200X 0024180191 VA
Adult Health Nurse Practitioner 363LA2200X 71017964A IN
Critical Care Medicine Nurse Practitioner 363LC0200X 0024180191 VA
Acute Care Nurse Practitioner 363LA2100X APRN11001337 FL
Critical Care Medicine Nurse Practitioner 363LC0200X APRN11001337 FL
Nurse Practitioner 363L00000X APRN11001337 FL

Addresses

Primary practice location

655 W 8TH St
Jacksonville, FL 32209-6511

Mailing address

PO Box 44008
Jacksonville, FL 32231-4008

Other practice location 1

601 E Rollins St
Orlando, FL 32803-1248
Phone (407) 303-7283

Other practice location 2

1350 Hickory St
Melbourne, FL 32901-3224
Phone (321) 434-1771

Other practice location 3

400 Sentara Cir Ste 201A
Williamsburg, VA 23188-5716
Phone (757) 984-3975

Other practice location 4

10590 N Meridian St Ste 105
Carmel, IN 46290-1028
Phone (317) 583-7800

Other identifiers 2

IdentifierTypeStateIssuer
PENDINGOtherFLMEDICARE
102470700MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NY, IL, VA, IN5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20190307001465 FL Practitioner - Nurse Practitioner 3173862257 Reassigns benefits to 3 organizations
I20201002002257 NY Practitioner - Nurse Practitioner 3173862257 Reassigns benefits to 1 organization
I20210312000565 IL Practitioner - Nurse Practitioner 3173862257 Reassigns benefits to 2 organizations
I20230814002115 VA Practitioner - Nurse Practitioner 3173862257 Reassigns benefits to 2 organizations
I20260423002458 IN Practitioner - Nurse Practitioner 3173862257 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

105 Marys Ave
Kingston, NY 12401-5829
Phone (845) 331-3131

15255 Max Leggett Pkwy
Jacksonville, FL 32218-7213
Phone (904) 383-1000

2001 Kingsley Ave
Orange Park, FL 32073-5148
Phone (904) 276-8500

653 W 8TH St
Jacksonville, FL 32209-6511
Phone (904) 244-1680

655 W 8TH St
Jacksonville, FL 32209-6511
Phone (940) 244-4218

95 Grasslands Rd
Valhalla, NY 10595-1652
Phone (914) 493-6940

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN9358856FLMDCritical Care Medicine Registered Nurse
11001337FLMDAcute Care Nurse Practitioner
APRN11001337FLMDAdult Health Nurse Practitioner
71017964AINMDAdult Health Nurse Practitioner
0024180191VAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health Medical Group Inc CurrentSince Mar 30, 2020 Accepting new patients
University of Florida Jacksonville Physicians, Inc. CurrentSince May 29, 2025 Accepting new patients
Sentara Medical Group CurrentSince Jul 1, 2023 Accepting new patients
Westchester Medical Center Advanced Physician Services PC CurrentSince Mar 25, 2022 Accepting new patients
University of Florida Jacksonville Physicians, Inc. CurrentSince May 29, 2025 Accepting new patients
Health First Medical Group, LLC CurrentSince Oct 11, 2020 Accepting new patients
Florida Hospital Medical Group Inc Nurse Practitioner CurrentSince Apr 29, 2019 Accepting new patients
Deaconess Illinois Specialty Clinic, Inc. Nurse Practitioner CurrentSince Feb 23, 2023 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Apr 29, 2019 Accepting new patients
Sound Physicians Intensivists of Virginia LLC Nurse Practitioner CurrentSince Nov 20, 2023 Accepting new patients
Deaconess Illinois Specialty Clinic, Inc. Nurse Practitioner CurrentSince Feb 23, 2023 Accepting new patients
Health First Medical Group, LLC CurrentSince Oct 11, 2020 Accepting new patients
Westchester Medical Center Advanced Physician Services, PC CurrentSince Mar 25, 2022 Accepting new patients
Cogent Healthcare of Illinois, LLC Nurse Practitioner CurrentSince Oct 15, 2022 Accepting new patients
University of Florida Jacksonville Physicians, Inc. Current Accepting new patients
Orlando Health Medical Group Inc CurrentSince Mar 30, 2020 Accepting new patients
Deaconess Illinois Specialty Clinic, Inc. Nurse Practitioner Current Accepting new patients
Westchester Medical Center Past Accepting new patients

Locations

699 W Cocoa Beach Cswy
Ste 405
Cocoa Beach, FL 32931
Phone (321) 868-7272

655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

1350 Hickory St
Melbourne, FL 32901
Phone (321) 434-1771

2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015

4401 S Orange Ave
Ste 113
Orlando, FL 32806

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

7236 Stonerock Cir
Orlando, FL 32819
Phone (407) 354-1202

303 S Commercial St
Harrisburg, IL 62946
Phone (618) 767-6050

3333 W Deyoung St
Marion, IL 62959
Phone (618) 998-7020

8 Doctors Park Rd
Mount Vernon, IL 62864
Phone (618) 244-5500

509 Hamacher St
Waterloo, IL 62298
Phone (618) 939-3939

105 Marys Ave
Kingston, NY 12401
Phone (845) 334-3080

707 E Main St
Middletown, NY 10940
Phone (845) 333-1000

70 Dubois St
Fl 2
Newburgh, NY 12550
Phone (845) 561-4400

95 Grasslands Rd
Valhalla, NY 10595
Phone (914) 493-2961

5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674

8260 Atlee Rd
Mechanicsvlle, VA 23116
Phone (804) 264-6000

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

5801 Bremo Rd
Richmond, VA 23226
Phone (804) 281-8220

400 Sentara Cir
Ste 320A
Williamsburg, VA 23188
Phone (757) 984-3975

400 Sentara Cir
Ste 201A
Williamsburg, VA 23188
Phone (757) 984-3975

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: abasile71501@epicdirect.hf.org
  • Direct secure messaging: alyssa.basile@hca5.eclinicaldirectplus.com
  • Direct secure messaging: abasile650846@direct.shands.ufl.edu
  • Direct secure messaging: abasile57992@direct.garnethealth.org
  • Direct secure messaging: afbasile@yourcarecommunity.org
  • FHIR API: https://fhir-myrecord.cerner.com/r4/0e5efebe-b60c-458e-971a-ee39e08a2178/

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1546992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776297600000",
    "number": "1689147985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 44008",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322314008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 W 8TH ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322096511",
            "telephone_number": "904-244-0411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 E Rollins St",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328031248",
            "country_code": "US",
            "telephone_number": "407-303-7283",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1350 Hickory St",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329013224",
            "country_code": "US",
            "telephone_number": "321-434-1771",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 Sentara Cir Ste 201A",
            "address_purpose": "LOCATION",
            "city": "Williamsburg",
            "state": "VA",
            "postal_code": "231885716",
            "country_code": "US",
            "telephone_number": "757-984-3975",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10590 N Meridian St Ste 105",
            "address_purpose": "LOCATION",
            "city": "Carmel",
            "state": "IN",
            "postal_code": "462901028",
            "country_code": "US",
            "telephone_number": "317-583-7800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOROTHY",
        "first_name": "ALYSSA",
        "middle_name": "FAYTH",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-09",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "VA",
            "license": "0024180191",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APRN11001337",
            "primary": true
        },
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "FL",
            "license": "RN9358856",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024180191",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "11001337",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "VA",
            "license": "0024180191",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IN",
            "license": "71017964A",
            "primary": false
        },
        {
            "code": "363LC0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Critical Care Medicine",
            "state": "VA",
            "license": "0024180191",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "APRN11001337",
            "primary": false
        },
        {
            "code": "363LC0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Critical Care Medicine",
            "state": "FL",
            "license": "APRN11001337",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11001337",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "PENDING",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102470700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.