Active NPI
Alyssa B Laeser, PA
- Physician Assistant
- Dulles, VA
National Provider Identifier
1982640405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0110001237
- Practice address
- 44330 Mercure Cir Ste 240E
Dulles, VA 20166-2024 - Phone
- (703) 727-0523
- Fax
- (703) 935-0330
- NPI assigned
- Jun 22, 2006
- Last updated
- Jul 8, 2021
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0110001237 | VA | Primary |
Addresses
Primary practice location
44330 Mercure Cir Ste 240E
Dulles, VA 20166-2024
Mailing address
1300 Piccard Dr
Ste 202
Rockville, MD 20850-4303
Phone (301) 921-7900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12196770 | Other | CAQH |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | Chantilly | Health Information Exchange (HIE) | |
| CONNECT URL | Dulles | Health Information Exchange (HIE) |
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
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mobile Medical Health | Physician Assistant | Current | Accepting new patients |
| Mid-Atlantic Critical Care Services,L.L.C. | Past | Accepting new patients | |
| Virginia Surgery Associates, P.C. | Past | Accepting new patients | |
| Commonwealth Emergency Physicians PC | Physician Assistant | Past | Accepting new patients |
| Bestpractices, Inc. | Past | Accepting new patients | |
| Inova Health Care Services | Past | Accepting new patients | |
| Bestpractices, Inc. | Past | Accepting new patients |
Locations
44330 Mercure Cir
Ste 240E
Dulles, VA 20166
Phone (703) 727-0523
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physician Assistant
- Dulles, VA
- NPI 1184294357
-
- Emergency Medicine Physician
- Falls Church, VA
- NPI 1639177942
-
- Emergency Medicine Physician
- Woodbridge, VA
- NPI 1730180944
-
- Physician Assistant
- Leesburg, VA
- NPI 1366061574
-
dba Inova Blood Donor Services
- Medical Technologist
- Sterling, VA
- NPI 1699655589
-
- Surgery Physician
- Fairfax, VA
- NPI 1245218684
-
- Critical Care Medicine (Internal Medicine) Physician
- Takoma Park, MD
- NPI 1164455853
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625702400000",
"number": "1982640405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 PICCARD DR",
"address_2": "STE 202",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208504303",
"telephone_number": "301-921-7900",
"fax_number": "301-921-7915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44330 MERCURE CIR STE 240E",
"city": "DULLES",
"state": "VA",
"postal_code": "201662024",
"telephone_number": "703-727-0523",
"fax_number": "703-935-0330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAESER",
"first_name": "ALYSSA",
"middle_name": "B",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-22",
"last_updated": "2021-07-08",
"certification_date": "2021-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "VA",
"license": "0110001237",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "12196770",
"state": null
}
],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "Chantilly",
"affiliation": "N",
"endpointDescription": "dulles",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "44330 Mercure Cir Ste 240E",
"city": "Dulles",
"state": "VA",
"country_code": "US",
"postal_code": "201662024",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Dulles",
"affiliation": "N",
"endpointDescription": "dulles",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "44330 Mercure Cir Ste 240E",
"city": "Dulles",
"state": "VA",
"country_code": "US",
"postal_code": "201662024",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Dulles, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.