Alyssa Ausnehmer, APRN
Individual provider Active NPI Pediatric Nurse Practitioner · Loxahatchee, FL
NPI 1760905285 · NPPES record last updated Feb 19, 2021
Key facts
- NPI
- 1760905285
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Nurse Practitioner 363LP0200X
- License
- ARNP9344494 (FL)
- Practice address
- 12959 Palms West Dr Ste 120
Loxahatchee, FL 33470-4938 - Phone
- (561) 753-8888
- Fax
- (561) 795-5004
- NPI assigned
- Jul 18, 2017
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP9344494 | FL | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edwin Liu, MD PA | Single Specialty | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner |
363LP0200X | ARNP9344494 | FL | Yes |
Addresses
Primary practice location
12959 Palms West Dr Ste 120
Loxahatchee, FL 33470-4938
Mailing address
12959 Palms West Dr Ste 120
Loxahatchee, FL 33470-4938
Phone (561) 753-8888
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 021630600 | Medicaid | FL |
Other providers in Loxahatchee, FL
- Shelby Paige Arlotta
- Atlantic Center for Behavior Analysis
- Atlantic Pediatric Partners LLC
- Zakariah Audi
- Aurand Home Visits MHT LLC
- Amber Austin
- Lenia Azcuy
- Andressa Ferreira Balbi
- Tathyana Baldwin
- Balmore Place Alf
All providers in Loxahatchee, FL · Pediatric Nurse Practitioner in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 19, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.