ALYSSA SUTTON APRN NPI 1114435518

NPI Information

NPI: 1114435518
Provider Name: ALYSSA SUTTON, APRN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: COVENANT MEDICAL GROUP

PECOS Registration: Yes

Address:
3601 21ST ST
LUBBOCK, TX
ZIP 79410
Phone: (806) 790-0399
Get Directions

Alyssa Sutton, APRN is a family nurse practitioner in Lubbock, TX with 7 years of experience. Alyssa Sutton, APRN NPI is 1114435518. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3601 21ST ST
LUBBOCK, TX
ZIP 79410-229
Phone: (806) 790-0399
Fax: (806) 791-0373

The NPI 1114435518 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/19/2018 and was last updated on 1/20/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363L00000X	Nurse Practitioner		3011848	KENTUCKY	No
2	363LF0000X	Nurse Practitioner	Family	3011848	KENTUCKY	No
3	363LF0000X	Nurse Practitioner	Family	1014551	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	8NS451	OTHER	TEXAS	BCBS
2	Q00010700	OTHER	TEXAS	RAILROAD MEDICARE
3	1J7698	OTHER	TEXAS	MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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