Individual provider Active NPI

Allison Nicole Dale, NP

  • Nurse Practitioner
  • Zanesville, OH
National Provider Identifier
1033657168
Registry record updated Feb 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN.CNP.020355 Issued in OH
Practice address
2315 Maple Ave
Zanesville, OH 43701-2028
Phone
(740) 586-6690
NPI assigned
Feb 9, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN.CNP.020355 OH Primary

Addresses

Primary practice location

2315 Maple Ave
Zanesville, OH 43701-2028

Mailing address

2315 Maple Ave
Zanesville, OH 43701-2028
Phone (740) 586-6690

Other names 1

  • Allison Church Former name

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
I20170405002284 OH Practitioner - Nurse Practitioner 2961788989 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Genesis Medical Group, LLCGroup PAC ID 7719040385, 265 clinicians

Practice addresses (Care Compare)

2951 Maple Ave
Zanesville, OH 43701-1406
Phone (740) 454-4000

61353 Southgate Rd
Cambridge, OH 43725-6607

945 Bethesda Dr
Zanesville, OH 43701-1880

Hospital & facility affiliations

  • Genesis Hospital Hospital, Zanesville, OH, CCN 360039

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Medical Group LLC CurrentSince Apr 2, 2017 Accepting new patients
Genesis Medical Group, LLC CurrentSince Apr 2, 2017 Accepting new patients

Locations

61353 Southgate Rd
Ste 5
Cambridge, OH 43725
Phone (740) 421-9240

1246 Ashland Ave
Ste 204
Zanesville, OH 43701
Phone (740) 450-6167

945 Bethesda Dr
Ste 330
Zanesville, OH 43701
Phone (740) 454-4038

945 Bethesda Dr
Ste 200
Zanesville, OH 43701
Phone (740) 454-4788

2315 Maple Ave
Zanesville, OH 43701
Phone (740) 453-1611

860 Bethesda Dr
Ste 2
Zanesville, OH 43701
Phone (740) 452-1905

Organizations & group practices 2

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1486598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486598400000",
    "number": "1033657168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 MAPLE AVE",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437012028",
            "telephone_number": "740-586-6690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 MAPLE AVE",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437012028",
            "telephone_number": "740-586-6690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALE",
        "first_name": "ALLISON",
        "middle_name": "NICOLE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-09",
        "last_updated": "2017-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.020355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALLISON",
            "last_name": "CHURCH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Zanesville, OH

Sources for this page

Verify at the official NPI Registry.