Individual provider Active NPI

Penny Lynn Allison, CRNA

  • Certified Registered Nurse Anesthetist
  • Jamestown, NY
National Provider Identifier
1154310795
Registry record updated Apr 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
R871703 Issued in MS
Practice address
172 Pleasantview Dr
Jamestown, NY 14701-1632
Phone
(999) 999-9999
NPI assigned
Oct 17, 2005
Last updated
Apr 10, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X R871703 MS Primary

Addresses

Primary practice location

172 Pleasantview Dr
Jamestown, NY 14701-1632

Mailing address

172 Pleasantview Dr
Jamestown, NY 14701-1632
Phone (999) 999-9999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170427000170 SC Practitioner - Certified Registered Nurse Anesthetist (Crna) 5991727331 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
382362NYMDPediatric Nurse Practitioner
R871703MSMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Newnan Anesthesia Associates, LLC Past Accepting new patients
Anesthesia Care Associates, LLC Nurse Anesthetist, Certified Registered PastSince Jan 4, 2012 Accepting new patients
Wendy L Smith M.D. PC Past Accepting new patients
Natchez Regional Medical Center Past Accepting new patients
Northside Cherokee Anesthesia Associates Past Accepting new patients
Digestive Care of Evansville PC Past Accepting new patients
Lehigh Anesthesia Associates, P.C. Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1129507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397088000000",
    "number": "1154310795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 PLEASANTVIEW DR",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147011632",
            "telephone_number": "999-999-9999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "172 PLEASANTVIEW DR",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147011632",
            "telephone_number": "999-999-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLISON",
        "first_name": "PENNY",
        "middle_name": "LYNN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-17",
        "last_updated": "2014-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MS",
            "license": "R871703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamestown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.