Active NPI
Alison G Kaneshiro, NP
- Nurse Practitioner
- Logansport, IN
National Provider Identifier
1205117520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 71005293A
- Practice address
- 1101 Michigan Ave
Logansport, IN 46947-1528 - Phone
- (574) 753-7541
- NPI assigned
- Aug 31, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 71005293A | IN | Primary |
| Nurse Practitioner | 363L00000X | 209009028 | IL |
Addresses
Primary practice location
1101 Michigan Ave
Logansport, IN 46947-1528
Mailing address
1101 Michigan Ave
Logansport, IN 46947-1528
Phone (574) 753-7541
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000001042126 | Other | IN | ANTHEM |
| P01756393 | Other | IN | RAILROAD MEDICARE |
| 201378490 | Medicaid | IN |
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)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489536000000",
"number": "1205117520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 MICHIGAN AVE",
"city": "LOGANSPORT",
"state": "IN",
"postal_code": "469471528",
"telephone_number": "574-753-7541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 MICHIGAN AVE",
"city": "LOGANSPORT",
"state": "IN",
"postal_code": "469471528",
"telephone_number": "574-753-7541"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANESHIRO",
"first_name": "ALISON",
"middle_name": "G",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-31",
"last_updated": "2017-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IN",
"license": "71005293A",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "209009028",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000001042126",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P01756393",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201378490",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Logansport, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.