Active NPI
Allyson Preston, FNP
- Family Nurse Practitioner
- Wareham, MA
National Provider Identifier
1124716550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2274740
- Practice address
- 53 Marion Rd
Wareham, MA 02571-1406 - Phone
- (508) 295-8622
- Fax
- (508) 295-5386
- NPI assigned
- Apr 25, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 | 2274740 | MA | Primary |
Addresses
Primary practice location
53 Marion Rd
Wareham, MA 02571-1406
Mailing address
187 High St
Wareham, MA 02571-1437
Phone (774) 384-3993
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2274740 | MA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682380800000",
"number": "1124716550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "187 HIGH ST",
"city": "WAREHAM",
"state": "MA",
"postal_code": "025711437",
"telephone_number": "774-384-3993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "53 MARION RD",
"city": "WAREHAM",
"state": "MA",
"postal_code": "025711406",
"telephone_number": "508-295-8622",
"fax_number": "508-295-5386"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRESTON",
"first_name": "ALLYSON",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-04-25",
"last_updated": "2023-04-25",
"certification_date": "2023-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MA",
"license": "2274740",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wareham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.