Active NPI
Alyssa Landry
- Prevention Professional
- Danvers, MA
National Provider Identifier
1831812221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prevention Professional
- License
- NA
- Practice address
- 199 Rosewood Dr
Danvers, MA 01923-1398 - Phone
- (781) 777-5808
- Fax
- (978) 521-7767
- NPI assigned
- Sep 21, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prevention Professional | 405300000X | NA | MA | Primary |
Addresses
Primary practice location
199 Rosewood Dr
Danvers, MA 01923-1398
Mailing address
199 Rosewood Dr
Danvers, MA 01923-1398
Phone (781) 777-5808
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663718400000",
"number": "1831812221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "199 ROSEWOOD DR",
"city": "DANVERS",
"state": "MA",
"postal_code": "019231398",
"telephone_number": "781-777-5808",
"fax_number": "978-521-7767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "199 ROSEWOOD DR",
"city": "DANVERS",
"state": "MA",
"postal_code": "019231398",
"telephone_number": "781-777-5808",
"fax_number": "978-521-7767"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANDRY",
"first_name": "ALYSSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-21",
"last_updated": "2022-09-21",
"certification_date": "2022-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "405300000X",
"taxonomy_group": "",
"desc": "Prevention Professional",
"state": "MA",
"license": "NA",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Danvers, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.