Individual provider Active NPI

Sheri Alyssa Nallas

  • Registered Nurse
  • Bronx, NY
National Provider Identifier
1215588272
Registry record updated Sep 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
690519 Issued in NY
Practice address
1916 Wallace Ave Apt 2
Bronx, NY 10462-3297
Phone
(917) 517-1163
NPI assigned
Sep 21, 2019
Last updated
Sep 21, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 690519 NY Primary

Addresses

Primary practice location

1916 Wallace Ave Apt 2
Bronx, NY 10462-3297

Mailing address

1916 Wallace Ave Apt 2
Bronx, NY 10462-3297
Phone (917) 517-1163

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL sherialyssa@yorkhealthny.com

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

LicenseStateTypeSpecialty
690519NYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Empire State's Children, LLC PastSince Jul 28, 2019 Accepting new patients

Organizations & group practices 1

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": "1569024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569024000000",
    "number": "1215588272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1916 WALLACE AVE APT 2",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104623297",
            "telephone_number": "917-517-1163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1916 WALLACE AVE APT 2",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104623297",
            "telephone_number": "917-517-1163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NALLAS",
        "first_name": "SHERI ALYSSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-21",
        "last_updated": "2019-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "690519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "sherialyssa@yorkhealthny.com",
            "affiliation": "N",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "e-mail",
            "address_1": "17016 Lithonia Ave",
            "city": "Fresh Meadows",
            "state": "NY",
            "country_code": "US",
            "postal_code": "113651111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2019; 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.