ALLYSA RUESCHENBERG NP NPI 1689115446

NPI Information

  • NPI: 1689115446
  • Provider Name: ALLYSA RUESCHENBERG, NP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 850 FAIR OAKS AVE STE 220
    ARROYO GRANDE, CA
    ZIP 93420
  • Phone: (805) 434-5530

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NPI Details

Allysa Rueschenberg, NP is a family nurse practitioner in Arroyo Grande, CA with 10 years of experience. Allysa Rueschenberg, NP NPI is 1689115446. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: EMORY UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2016

The provider's business location address is:

850 FAIR OAKS AVE STE 220
ARROYO GRANDE, CA
ZIP 93420-929
Phone: (805) 434-5530
Fax: (805) 434-0023

The NPI 1689115446 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 3/13/2017 and was last updated on 10/2/2024.

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
1163W00000XRegistered Nurse95103654CALIFORNIANo
2363LF0000XNurse PractitionerFamily95006199CALIFORNIAYes

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: 11/21/2025

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