Abosede Nihinlola Alao, RN, BSN , MSN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

F401309-1 Issued in NY

Practice address

4589 Stoneledge LN
Manlius, NY 13104-2375

Phone

(315) 412-3023

NPI assigned

Dec 19, 2008

Last updated

Dec 9, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Master of Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1229644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291852800000",
    "number": "1124264213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4589 STONELEDGE LN",
            "city": "MANLIUS",
            "state": "NY",
            "postal_code": "131042375",
            "telephone_number": "315-412-3023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4589 STONELEDGE LN",
            "city": "MANLIUS",
            "state": "NY",
            "postal_code": "131042375",
            "telephone_number": "315-412-3023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALAO",
        "first_name": "ABOSEDE",
        "middle_name": "NIHINLOLA",
        "name_prefix": "Mrs.",
        "credential": "RN, BSN , MSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-19",
        "last_updated": "2010-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F401309-1",
            "primary": true
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "NY",
            "license": "489569-1",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1124264213",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard Steven Adamczyk, PHARM D
• Deirdre Affleck, MS, LMHC
• Christine Aiello, M.S
• Alcohol Services Inc
• Carolyn Allen, RD, CDN
• Lori L Anderson, MD
• Desta Rowena Anthony, ANP
• Paraskos Araouzos, MD

• Psychiatric/Mental Health Nurse Practitioner in Manlius, NY
• Providers in Manlius, NY by specialty
• Psychiatric/Mental Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.