Alissa Nicholas Damiens, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

902276 Issued in MS

Practice address

230 Wyeth LN
Yazoo City, MS 39194-4653

Phone

(662) 746-8962

Fax

(662) 746-8964

NPI assigned

Aug 31, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Vibha Vig MD PA

  dba Sunshine Medical Clinic

  • Primary Care Clinic/Center
  • Yazoo City, MS
  • NPI 1013233857
  NPD (past)
• Vibha Vig MD PA

  dba Sunshine Medical Clinic

  • Primary Care Clinic/Center
  • Canton, MS
  • NPI 1255413639
  NPD (past)
• Vibha Vig MD PA

  dba Sunshine Medical Clinic

  • Primary Care Clinic/Center
  • Carthage, MS
  • NPI 1255424016
  NPD (past)

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

{
    "created_epoch": "1504137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587513600000",
    "number": "1992223887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3328 MYRLEVILLE RD",
            "city": "YAZOO CITY",
            "state": "MS",
            "postal_code": "391949530",
            "telephone_number": "662-571-2911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 WYETH LN",
            "city": "YAZOO CITY",
            "state": "MS",
            "postal_code": "391944653",
            "telephone_number": "662-746-8962",
            "fax_number": "662-746-8964"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "823 Grand Ave",
            "address_purpose": "LOCATION",
            "city": "Yazoo City",
            "state": "MS",
            "postal_code": "391943233",
            "country_code": "US",
            "telephone_number": "662-746-2261",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "805 E Fifteenth St",
            "address_purpose": "LOCATION",
            "city": "Yazoo City",
            "state": "MS",
            "postal_code": "391947607",
            "country_code": "US",
            "telephone_number": "662-746-6083",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "156 River Oaks Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "MS",
            "postal_code": "390465376",
            "country_code": "US",
            "telephone_number": "601-855-5287",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1010 Highway 16 E",
            "address_purpose": "LOCATION",
            "city": "Carthage",
            "state": "MS",
            "postal_code": "390514220",
            "country_code": "US",
            "telephone_number": "601-267-0544",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAMIENS",
        "first_name": "ALISSA",
        "middle_name": "NICHOLAS",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-31",
        "last_updated": "2020-04-22",
        "certification_date": "2020-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "902276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Milicent Renee Coats
• Cozy Cove Safe Haven LLC
• Ashley Creel, MS,RD,LD
• Blakely Camille Culp, PHARMD
• Yolanda Currie Pope, MS CCCSLP
• Presley Fay Dempsey
• Stefanie Patterson Dendy, RPA/RRA
• Catherine Ann Dever, FNP
• Luisa Diaz, M.D.
• Stephen Diew

• Family Nurse Practitioner in Yazoo City, MS
• Providers in Yazoo City, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2020; 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.