Individual provider Active NPI

Alyssa Vecchione Haycock, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1982216024
Registry record updated Aug 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1010285 Issued in TX
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

Updated by the provider on Aug 19, 2020

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240905003260 MA Practitioner - Nurse Practitioner 1759821721 Reassigns benefits to 1 organization

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
South Shore Medical Center, Inc.Group PAC ID 3678487444, 174 clinicians

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 Hospital, South Weymouth, MA, CCN 220100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1010285TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
South Shore Medical Center, Inc. CurrentSince Oct 24, 2024 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.