Individual provider Active NPI

Allison Elizabeth Sirkin, CNP

  • Nurse Practitioner
  • Cincinnati, OH
National Provider Identifier
1003542291
Registry record updated Aug 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN.CNP.0031940 Issued in OH
Practice address
3333 Burnet Ave. - ML 6015
Cincinnati, OH 45229-3026
Phone
(513) 636-0800
Fax
(513) 803-0823
NPI assigned
Jul 28, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN.CNP.0031940 OH
Nurse Practitioner 363L00000X APRN.CNP.0031940 OH Primary

Addresses

Primary practice location

3333 Burnet Ave. - ML 6015
Cincinnati, OH 45229-3026

Mailing address

364 Grand Ave
Cincinnati, OH 45205-2222
Phone (513) 617-2521

Other practice location 1

4015 Executive Park Dr Ste 320
Cincinnati, OH 45241-4015
Phone (513) 563-0488

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220901003362 OH Practitioner - Nurse Practitioner 0345624789 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Children's Hospital Medical Center Nurse Practitioner CurrentSince Aug 10, 2023 Accepting new patients
Neuropsych Center of Greater Cincinnati LLC CurrentSince Dec 8, 2024 Accepting new patients
Neuropsych Center of Greater Cincinnati Past Accepting new patients

Locations

3341 Solutions Ctr
Chicago, IL 60677

3333 Burnet Ave
#6015
Cincinnati, OH 45229
Phone (513) 636-0800

3333 Burnet Ave
Cincinnati, OH 45229
Phone (513) 636-4200

3333 Burnet Ave
#5021
Cincinnati, OH 45229
Phone (513) 636-4225

4015 Executive Park Dr
Ste 320
Cincinnati, OH 45241
Phone (513) 563-0488

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1658966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691712000000",
    "number": "1003542291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "364 GRAND AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452052222",
            "telephone_number": "513-617-2521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 BURNET AVE. - ML 6015",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452293026",
            "telephone_number": "513-636-0800",
            "fax_number": "513-803-0823"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4015 Executive Park Dr Ste 320",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452414015",
            "country_code": "US",
            "telephone_number": "513-563-0488",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIRKIN",
        "first_name": "ALLISON",
        "middle_name": "ELIZABETH",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-28",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.0031940",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.0031940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.