Active NPIIndividual provider

Alyssa K Greenleaf, PA-C

Physician Assistant, Medical in Southington, Connecticut

NPI Number1861896524
Practice location
462 Queen St Ste 303, Southington, CT 06489-1801
Fax
—
Last updated
May 22, 2019

Alyssa Kanagaki Greenleaf is a Physician Assistant, Medical based in Southington, CT. Alyssa Kanagaki Greenleaf practices in Southington, CT and has the professional credentials of PA-C. The NPI Number for Alyssa Kanagaki Greenleaf is 1861896524 and holds a License No. 4051 (CT). The current practice location address for Alyssa Kanagaki Greenleaf is 462 Queen St Ste 303, Southington, CT 06489-1801 and can be reached out via phone at 860-224-5672.

Provider Profile Details

NPI Number
1861896524
Provider Name
Alyssa Kanagaki Greenleaf
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
462 Queen St Ste 303, Southington, CT 06489-1801
Phone Number
860-224-5672
Primary Taxonomy
Physician Assistant, Medical · 363AM0700X
Sole Proprietor
No
Provider Enumeration Date
October 9, 2014
Last Update Date
May 22, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
462 Queen St Ste 303
Southington, CT 06489-1801
Zip
06489-1801
Phone Number
860-224-5672
Southington, CT 06489Get directions →

Provider Business Mailing Address Details

Address
462 Queen St
Ste 303
Southington, CT 06489-1801
City
Southington
State
CT
Zip
06489-1801
Phone Number
413-794-5700

License Information

License Number (1)
4051
License State (1)
CT
Taxonomy (1)
Physician Assistant, Medical · 363AM0700X · Primary
License Number (2)
5169
License State (2)
MA
Taxonomy (2)
Physician Assistant, Medical · 363AM0700X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Alyssa K Greenleaf, PA-C?

The NPI number of Alyssa K Greenleaf, PA-C is 1861896524. It was assigned on October 9, 2014 and is currently active in the NPPES registry.

What is the specialty of Alyssa K Greenleaf, PA-C?

Alyssa K Greenleaf, PA-C is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in CT under license number 4051.

Where does Alyssa K Greenleaf, PA-C practice?

The practice location is 462 Queen St Ste 303, Southington, CT 06489-1801. The office can be reached at 860-224-5672 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1861896524 directly on the NPPES registry website.

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