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

Alyssa Emily Lewellen

Individual provider Family Nurse Practitioner · NPI 1336635937

Alyssa Emily Lewellen is a Nurse Practitioner in Glendale, Arizona. Qualified in 2018, 8 years ago. Practices with Rajiv Siddaramu MD PLLC, a 10-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
8
Licensed in
AZ
In the registry since
2018
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Practice location Address checks out

6611 W Bell Rd
Glendale, AZ 85308-3607
Phone: (000) 000-0000
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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 AP11431 (AZ)

Record details

NPI number1336635937
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 6, 2018
Last updated in NPPESDecember 30, 2021
Certification dateDecember 30, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Rajiv Siddaramu Md Pllc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Glendale