Active NPI
Allison Lynn Wastak, NP-C, RN, CCRN
- Family Nurse Practitioner
- Oxnard, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0024172720
- Practice address
- 1910 Outlet Center Dr
Oxnard, CA 93036-0677 - Phone
- (805) 485-2400
- Fax
- (805) 485-3025
- NPI assigned
- Jun 27, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0024172720 | VA | Primary |
Addresses
Primary practice location
1910 Outlet Center Dr
Oxnard, CA 93036-0677
Mailing address
1910 Outlet Center Dr
Oxnard, CA 93036-0677
Phone (805) 485-2400
Other practice location 1
600 Gresham Dr Ste 8630B
Norfolk, VA 23507-1904
Phone (757) 388-6115
Other practice location 2
4000 Calle Tecate Ste 105
Camarillo, CA 93012-5283
Phone (805) 485-2400
Other practice location 3
483 W Seed Farm Rd
Sacaton, AZ 85147-5000
Phone (602) 528-1200
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093197923 | Other | VA | USA MANAGED CARE |
| 1093197923 | Other | VA | MULTIPLAN |
| -029 | Other | VA | TRICARE/CHAMPUS |
| 1093197923 | Other | VA | VIRGINIA PREMIER HEALTH PLAN |
| 1093197923 | Medicaid | VA | |
| 1093197923 | Other | VA | OPTIMA HEALTH |
| 1093197923 | Other | VA | CORVEL |
| 1093197923 | Medicaid | NC |
Other names 1
- Allison Seipp
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, CA, TX, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of South Alabama College of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2501 Parkers LN
Alexandria, VA 22306-3209
Phone (877) 511-4625
3300 Gallows Rd
Falls Church, VA 22042-3307
400 Fannon St
FL 3
Alexandria, VA 22301-1011
Phone (703) 780-9014
44045 Rivderside Pkwy
Leesburg, VA 20176-5101
Phone (703) 771-2960
8221 Willow Oaks Corporate Dr
Fairfax, VA 22031-4512
Phone (703) 237-3446
Hospital & facility affiliations
- Inova Fairfax Hospital
- Inova Alexandria Hospital
- Inova Mount Vernon Hospital
- Inova Fair Oaks Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024172720 | VA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inova Health Care Services | Current | Accepting new patients | |
| Inova Health Care Services | Current | Accepting new patients | |
| West Coast Pulmonary Physicians a Professional Medical Corporation | Current | Accepting new patients | |
| Gila River Health Care Corporation | Current | Accepting new patients | |
| Gila River Health Care | Current | Accepting new patients | |
| Gila River Health Care Corporation | Current | Accepting new patients | |
| Sentara Medical Group | Current | Accepting new patients | |
| Inova Health Care Services | Current | Accepting new patients |
Locations
17487 S Healthcare Dr
#H
Laveen, AZ 85339
Phone (520) 550-6000
48203 W Farrell Rd
#H
Maricopa, AZ 85139
Phone (520) 568-3881
4000 Calle Tecate
Ste 115
Camarillo, CA 93012
Phone (805) 485-2400
4000 Calle Tecate
Ste 105
Camarillo, CA 93012
Phone (805) 485-2400
1910 Outlet Center Dr
Oxnard, CA 93036
Phone (805) 485-2400
400 Fannon St
Fl 3
Alexandria, VA 22301
Phone (571) 665-6480
2501 Parkers Ln
Ste 114
Alexandria, VA 22306
Phone (571) 472-6431
3289 Woodburn Rd
Ste 350
Annandale, VA 22003
Phone (703) 641-8616
3620 Joseph Siewick Dr
Ste 406
Fairfax, VA 22033
Phone (703) 429-2109
8260 Willow Oaks Corporate Dr
Ste 500
Fairfax, VA 22031
3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395
44045 Riverside Pkwy
Leesburg, VA 20176
Phone (703) 858-6040
224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894
850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162
863 Glenrock Rd
Norfolk, VA 23502
Phone (757) 252-3321
600 Gresham Dr
Ste 8630
Norfolk, VA 23507
Phone (757) 388-6105
600 Gresham Dr
Ste 8630B
Norfolk, VA 23507
Phone (757) 338-6115
600 Gresham Dr
Norfolk, VA 23507
Phone (757) 473-0055
8100 Boone Blvd
Ste 710
Vienna, VA 22182
Phone (571) 665-6430
1975 Glenn Mitchell Dr
Ste 202
Virginia Beach, VA 23456
Phone (757) 507-8610
14349 Gideon Dr
Fl 2
Woodbridge, VA 22192
Phone (571) 472-8760
Interoperability endpoints
- allison.wastak.p23@direct.wcp.nextgenshare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- awastak1459330@soc.inova.org
- awastak4014@direct.sentara.net
Organizations & group practices 8
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.
-
- Pulmonary Disease Physician
- Oxnard, CA
- NPI 1558464065
-
- Family Medicine Physician
- Norfolk, VA
- NPI 1265485270
-
- Community/Behavioral Health Agency
- Laveen, AZ
- NPI 1598021495
-
- Rural Acute Care Hospital
- Maricopa, AZ
- NPI 1386633915
-
- Multi-Specialty Clinic/Center
- Fairfax, VA
- NPI 1669511051
-
- Medical Technologist
- Sterling, VA
- NPI 1699655589
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Alexandria, VA
- NPI 1255684460
-
- Rehabilitation Hospital Unit
- Falls Church, VA
- NPI 1588795462
-
- General Acute Care Hospital
- Fairfax, VA
- NPI 1760513980
-
- General Acute Care Hospital
- Falls Church, VA
- NPI 1831220714
-
- General Acute Care Hospital
- Alexandria, VA
- NPI 1922139120
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715040000000",
"number": "1093197923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1910 OUTLET CENTER DR",
"city": "OXNARD",
"state": "CA",
"postal_code": "930360677",
"telephone_number": "805-485-2400",
"fax_number": "805-485-3025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1910 OUTLET CENTER DR",
"city": "OXNARD",
"state": "CA",
"postal_code": "930360677",
"telephone_number": "805-485-2400",
"fax_number": "805-485-3025"
}
],
"practiceLocations": [
{
"address_1": "600 Gresham Dr Ste 8630B",
"address_purpose": "LOCATION",
"city": "Norfolk",
"state": "VA",
"postal_code": "235071904",
"country_code": "US",
"telephone_number": "757-388-6115",
"fax_number": "757-275-9998",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4000 Calle Tecate Ste 105",
"address_purpose": "LOCATION",
"city": "Camarillo",
"state": "CA",
"postal_code": "930125283",
"country_code": "US",
"telephone_number": "805-485-2400",
"fax_number": "805-485-3025",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "483 W Seed Farm Rd",
"address_purpose": "LOCATION",
"city": "Sacaton",
"state": "AZ",
"postal_code": "851475000",
"country_code": "US",
"telephone_number": "602-528-1200",
"fax_number": "602-528-1255",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WASTAK",
"first_name": "ALLISON",
"middle_name": "LYNN",
"credential": "NP-C, RN, CCRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-27",
"last_updated": "2024-05-07",
"certification_date": "2024-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024172720",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "USA MANAGED CARE",
"identifier": "1093197923",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MULTIPLAN",
"identifier": "1093197923",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE/CHAMPUS",
"identifier": "-029",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VIRGINIA PREMIER HEALTH PLAN",
"identifier": "1093197923",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1093197923",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTIMA HEALTH",
"identifier": "1093197923",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CORVEL",
"identifier": "1093197923",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1093197923",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ALLISON",
"last_name": "SEIPP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Oxnard, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.