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

Alyssa Basen Light, PA-C

Individual provider Medical Physician Assistant · NPI 1578086179

Alyssa Basen Light, PA-C is a Medical Physician Assistant in Winston Salem, North Carolina. Licensed in North Carolina. Registered with an NPI since 2017.

Licensed in
NC
In the registry since
2017
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1350 Whitaker Ridge Dr
Winston Salem, NC 27106
Phone: (336) 718-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-07448 (NC)
Medical Physician Assistant Taxonomy 363AM0700X

Record details

NPI number1578086179
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 25, 2017
Last updated in NPPESJanuary 28, 2022
Certification dateJanuary 28, 2022

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