Andrea Ann Lysak, RNFA

Primary specialty

Registered Nurse First AssistantTaxonomy code 163WR0006X

License

606606 Issued in CA

Practice address

10121 Pine Ave
Truckee, CA 96161-4856

Phone

(530) 587-6011

NPI assigned

Jun 27, 2022

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1656288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656288000000",
    "number": "1740912054",
    "addresses": [
        {
            "country_code": "CA",
            "country_name": "Canada",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "214 FIR STREET",
            "city": "SHERWOOD PARK",
            "state": "ALBERTA",
            "postal_code": "T8A 2A4"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10121 PINE AVE",
            "city": "TRUCKEE",
            "state": "CA",
            "postal_code": "961614856",
            "telephone_number": "530-587-6011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYSAK",
        "first_name": "ANDREA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "RNFA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-27",
        "last_updated": "2022-06-27",
        "certification_date": "2022-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "CA",
            "license": "606606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory Joseph Luippold
• Thomas Andrew Luscomb
• Richard Walter Lutz, M.D.
• Jocelyn Lybarger, PA-C
• Jessica Katherine Lyons-Farino, RPA-C
• Melissa D Macco, OD
• Linda Mackenzie, RN, BCB
• Kirsten K. Mackey, D.O.
• Sophia Maclean, RN
• Michael Bruce Macquarrie, MD

• Registered Nurse First Assistant in Truckee, CA
• Providers in Truckee, CA by specialty
• Registered Nurse First Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.

Verify at the official NPI Registry.