Alysha M Lasseter, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11027825 Issued in FL

Practice address

3599 University Blvd S
Jacksonville, FL 32216-4252

Phone

(904) 652-4628

NPI assigned

Aug 21, 2023

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

Other names 1

• Alysha M Gilvary Former name

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": "1692576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692576000000",
    "number": "1780468090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8649 HEATHER RUN DR S",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322569535",
            "telephone_number": "904-826-7441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3599 UNIVERSITY BLVD S",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164252",
            "telephone_number": "904-652-4628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASSETER",
        "first_name": "ALYSHA",
        "middle_name": "M",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-21",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11027825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALYSHA",
            "last_name": "GILVARY",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Harold Sheldon Laski, M.D.
• Mitchell Alexander Laski, M.D.
• Michelle Lasky, MSW, LCSW
• Cara J Lasley, D.O
• Nathaniel Allen Lasley
• Tara Lassi, LCSW
• Susan Lassiter
• Peyton Elizabeth Lassley, PT, DPT
• Lasting Impression Care, Inc.
• Emma Elizabeth Lasure, DPT

• Family Nurse Practitioner in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; 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.