Individual provider Active NPI

Alyse Kirkaldy Flynn, RN

  • Registered Nurse
  • Shreveport, LA
National Provider Identifier
1811700826
Registry record updated May 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
208990 Issued in LA
Practice address
3023 Nottingham Dr
Shreveport, LA 71115-9441
Phone
(318) 564-3393
NPI assigned
Jan 31, 2025
Last updated
May 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 208990 LA Primary

Addresses

Primary practice location

3023 Nottingham Dr
Shreveport, LA 71115-9441

Mailing address

2602 Ashland Ave
Bossier City, LA 71111-2409
Phone (318) 317-9025

Other practice location 1

537 Cumberland Dr
Shreveport, LA 71106-5919
Phone (318) 317-9025

Other names 1

  • Ms. Alyse Gillian Kirkaldy Former name

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)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
208990LAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1738281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747008000000",
    "number": "1811700826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2602 ASHLAND AVE",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711112409",
            "telephone_number": "318-317-9025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3023 NOTTINGHAM DR",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711159441",
            "telephone_number": "318-564-3393"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "537 Cumberland Dr",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711065919",
            "country_code": "US",
            "telephone_number": "318-317-9025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLYNN",
        "first_name": "ALYSE",
        "middle_name": "KIRKALDY",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-31",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "LA",
            "license": "208990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALYSE",
            "last_name": "KIRKALDY",
            "middle_name": "GILLIAN",
            "prefix": "MS.",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Shreveport, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2025; 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.