Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alisha Tyson

Individual provider Family Nurse Practitioner · NPI 1508624933

Alisha Tyson is a Nurse Practitioner in West Haven, Connecticut. Qualified in 2023, 3 years ago. Practices with Hartford Healthcare Medical Group Specialists PLLC, a 1,537-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Connecticut.

Years since qualifying
3
Licensed in
CT
In the registry since
2024
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Practice location Address checks out

511 Main St Apt G13
West Haven, CT 06516-4260
Phone: (203) 707-4612
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 12946 (CT)

Record details

NPI number1508624933
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 11, 2024
Last updated in NPPESMarch 11, 2024
Certification dateMarch 11, 2024
Mailing addressPo Box 4043, Hamden, CT 06514-0043

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Hartford Healthcare Medical Group Specialists Pllc — 1537 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in West Haven