Active NPI
Alyssa Ancipink Burt, NP
- Family Nurse Practitioner
- Cincinnati, OH
National Provider Identifier
1801272869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN.CNP.17418
- Practice address
- 7257 Wooster Pike
Cincinnati, OH 45227-3830 - Phone
- (513) 335-1910
- NPI assigned
- Jul 31, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | COA.17418-NP | OH | |
| Family Nurse Practitioner | 363LF0000X | APRN.CNP.17418 | OH | Primary |
Addresses
Primary practice location
7257 Wooster Pike
Cincinnati, OH 45227-3830
Mailing address
4027 Burwood Ave
Cincinnati, OH 45212-3905
Phone (937) 671-5210
Other practice location 1
914 W Main St
Tipp City, OH 45371-1337
Phone (937) 667-4032
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN.CNP.17418 | OH | MD | Family Nurse Practitioner |
| COA.17418-NP | OH | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652745600000",
"number": "1801272869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4027 BURWOOD AVE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452123905",
"telephone_number": "937-671-5210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7257 WOOSTER PIKE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452273830",
"telephone_number": "513-335-1910"
}
],
"practiceLocations": [
{
"address_1": "914 W Main St",
"address_purpose": "LOCATION",
"city": "Tipp City",
"state": "OH",
"postal_code": "453711337",
"country_code": "US",
"telephone_number": "937-667-4032",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BURT",
"first_name": "ALYSSA",
"middle_name": "ANCIPINK",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-31",
"last_updated": "2022-05-17",
"certification_date": "2022-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "COA.17418-NP",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "APRN.CNP.17418",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 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.