Active NPI
Alyssa Vecchione Haycock, MSN, APRN, FNP-C
- Family Nurse Practitioner
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1010285
- Practice address
- 6331 Prospect Ave
Dallas, TX 75214-3938 - Phone
- (214) 821-6331
- NPI assigned
- Aug 19, 2020
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1010285 | TX | Primary |
Addresses
Primary practice location
6331 Prospect Ave
Dallas, TX 75214-3938
Mailing address
6331 Prospect Ave
Dallas, TX 75214-3938
Phone (214) 821-6331
Other practice location 1
6331 Prospect Ave
Dallas, TX 75214-3938
Phone (214) 821-6331
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
141 Longwater Dr
Suite 201
Norwell, MA 02061-1683
143 Longwater Dr
Norwell, MA 02061-1683
Phone (781) 878-5200
1495 Hancock St
Quincy, MA 02169-5229
Phone (781) 878-5200
5 Tarkiln Rd
Kingston, MA 02364-1250
Phone (781) 585-2200
51 Performance Dr
Weymouth, MA 02189-3141
Phone (781) 624-8000
689 Bedford St
Whitman, MA 02382-1807
Phone (781) 447-4001
70 Pleasant St
Weymouth, MA 02190-2427
Phone (781) 878-5200
Hospital & facility affiliations
- South Shore Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1010285 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Shore Medical Center, Inc. | Current | Accepting new patients | |
| LWHP Family Wellness Group PLLC | Family | Past | Accepting new patients |
Locations
5 Tarkiln Rd
Kingston, MA 02364
Phone (781) 585-2200
141 Longwater Dr
Ste 201
Norwell, MA 02061
Phone (781) 261-7820
55 Fogg Rd
Weymouth, MA 02190
Phone (781) 340-4293
70 Pleasant St
Weymouth, MA 02190
Phone (781) 331-2000
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Norwell, MA
- NPI 1669411856
-
- Family Nurse Practitioner
- Dallas, TX
- NPI 1821466764
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- South Weymouth, MA
- NPI 1134227606
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597795200000",
"number": "1982216024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6331 PROSPECT AVE",
"city": "DALLAS",
"state": "TX",
"postal_code": "752143938",
"telephone_number": "214-821-6331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6331 PROSPECT AVE",
"city": "DALLAS",
"state": "TX",
"postal_code": "752143938",
"telephone_number": "214-821-6331"
}
],
"practiceLocations": [
{
"address_1": "6331 Prospect Ave",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752143938",
"country_code": "US",
"telephone_number": "214-821-6331",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAYCOCK",
"first_name": "ALYSSA",
"middle_name": "VECCHIONE",
"credential": "MSN, APRN, FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-19",
"last_updated": "2020-08-19",
"certification_date": "2020-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "1010285",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.