Individual provider Active NPI

Alyssa A Lannoo

  • Family Nurse Practitioner
  • Frisco, TX
National Provider Identifier
1790353688
Registry record updated Jul 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1034272 Issued in TX
Practice address
8380 Warren Pkwy Ste 201
Frisco, TX 75034-4199
Phone
(972) 377-2625
NPI assigned
Jun 16, 2021
Last updated
Jul 6, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1034272 TX Primary

Addresses

Primary practice location

8380 Warren Pkwy Ste 201
Frisco, TX 75034-4199

Mailing address

8380 Warren Pkwy Ste 201
Frisco, TX 75034-4199
Phone (972) 377-2625

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1034272TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Conceptive Care Past Accepting new patients
Physician Psych Services PLLC PastSince Jun 15, 2021 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: alyssa.lannoo.1@17469.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1623801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657065600000",
    "number": "1790353688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8380 WARREN PKWY STE 201",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750344199",
            "telephone_number": "972-377-2625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8380 WARREN PKWY STE 201",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750344199",
            "telephone_number": "972-377-2625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANNOO",
        "first_name": "ALYSSA",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-16",
        "last_updated": "2022-07-06",
        "certification_date": "2022-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1034272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

Verify at the official NPI Registry.