Active NPI
Alisha Lynn Famiglietti, PA-C
- Physician Assistant
- Winston Salem, NC
National Provider Identifier
1730094541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0010-16875
- Practice address
- 475 Vine St Ste 130
Winston Salem, NC 27101-4135 - Phone
- (603) 769-0196
- NPI assigned
- Aug 17, 2026
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0010-16875 | NC | Primary |
Addresses
Primary practice location
475 Vine St Ste 130
Winston Salem, NC 27101-4135
Mailing address
336 Flower House Loop
Troutman, NC 28166-8703
Phone (603) 769-0196
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": "1786924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786924800000",
"number": "1730094541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "336 FLOWER HOUSE LOOP",
"city": "TROUTMAN",
"state": "NC",
"postal_code": "281668703",
"telephone_number": "603-769-0196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "475 VINE ST STE 130",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271014135",
"telephone_number": "603-769-0196"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAMIGLIETTI",
"first_name": "ALISHA",
"middle_name": "LYNN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-08-17",
"last_updated": "2026-08-17",
"certification_date": "2026-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "0010-16875",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winston Salem, NC
- Robert Newton Falge, MD
- Mohammad Kazem Fallahzadeh Abarghouei, M.D.
- Nancy Irene Faller, DO
- Joshua Howard Fallin, LAT, ATC
- Nicole Marie Fama, MD
- Family Behavioral Health, PLLC
- Family Care Health and Wellness Center, Inc.
- Family Care of Winston-Salem, PA
- Family Preservation Services of NC, Inc - Old Town Elementary
- Family Preservation Services of NC, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.