Lacrecia Ann Allison, R-PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

009353 Issued in NY

Practice address

5645 Main St
4 South
Flushing, NY 11355-5045

Phone

(718) 670-1155

Fax

(718) 661-7281

NPI assigned

Oct 17, 2008

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

• Miss Lacrecia Ann Allison Former name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 30, 2010.

{
    "created_epoch": "1224201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269907200000",
    "number": "1225280563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5645 MAIN ST",
            "address_2": "ORTHOPAEDIC 4 SOUTH",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113555045",
            "telephone_number": "718-670-1155",
            "fax_number": "718-661-7281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5645 MAIN ST",
            "address_2": "4 SOUTH",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113555045",
            "telephone_number": "718-670-1155",
            "fax_number": "718-661-7281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLISON",
        "first_name": "LACRECIA",
        "middle_name": "ANN",
        "name_prefix": "Miss",
        "credential": "R-PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-17",
        "last_updated": "2010-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NY",
            "license": "009353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LACRECIA",
            "last_name": "ALLISON",
            "middle_name": "ANN",
            "prefix": "MISS",
            "credential": "R-PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• All providers in Flushing, NY
• Surgical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.