Alyssa Johnston Registered Nursing, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

ALYSSA JOHNSTON REGISTERED NURSING, INC.

Practice address

1814 Cirby Way Apt B
Roseville, CA 95661-5564

Phone

(770) 876-9602

NPI assigned

Apr 11, 2022

Organization subpart

No

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

Authorized official

Name

Jacob Sung Keum, MD

Title

Attending Physician

Phone

(770) 876-9602

Specialties & licenses 2

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alyssa Virginia Johnston, NP

  • Family Nurse Practitioner
  • Roseville, CA
  • NPI 1891281432
  Medicare reassignment
• Kelly Elizabeth Brendle, AGACNP

  • Critical Care Medicine Registered Nurse
  • Sacramento, CA
  • NPI 1831489103
  NPD (past)
• Leah Naomi McCarty

  • Family Nurse Practitioner
  • Sacramento, CA
  • NPI 1013601384
  NPD (past)
• Jaclyn Victoria, MSN, APRN, FNP-C

  • Pediatrics Physician
  • Elk Grove, CA
  • NPI 1174146211
  NPD (past)

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

{
    "created_epoch": "1649635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650412800000",
    "number": "1740922640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1814 CIRBY WAY APT B",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956615564",
            "telephone_number": "770-876-9602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1814 CIRBY WAY APT B",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956615564",
            "telephone_number": "770-876-9602"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "125 Ascot Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Roseville",
            "state": "CA",
            "postal_code": "956613408",
            "country_code": "US",
            "telephone_number": "916-633-2030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ALYSSA JOHNSTON REGISTERED NURSING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-11",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A",
        "authorized_official_last_name": "KEUM",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "SUNG",
        "authorized_official_title_or_position": "ATTENDING PHYSICIAN",
        "authorized_official_telephone_number": "770-876-9602",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1891281432",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1215998737",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.wellbyamllc.com",
            "affiliation": "N",
            "address_1": "1814 Cirby Way Apt B",
            "city": "Roseville",
            "state": "CA",
            "country_code": "US",
            "postal_code": "956615564",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Alexander Borgen Alvero, MD
• Eugenia Alvizouri Gomez
• Brianna Alvord, LCSW
• Always Best Care
• Always Best Case Management, Inc.
• Am Speech Therapy, Inc
• Lee Vesci Amadei
• Nilofar Amaniar
• Steven E Amaral, PA
• Jennifer Eloise Amaro, ASW

• Family Medicine Physician in Roseville, CA
• Providers in Roseville, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.