Individual provider Active NPI

Allison Dionne Harden Bostic, C.N.A CERTIFIED NURS

  • Nurse's Aide
  • Hephzibah, GA
National Provider Identifier
1285046409
Registry record updated May 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
License
CN0000066881 Issued in GA
Practice address
1557 Brown Rd
Hephzibah, GA 30815
Phone
(706) 421-7033
Fax
(706) 814-5623
NPI assigned
May 22, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's Aide 376K00000X CN0000066881 GA Primary

Addresses

Primary practice location

1557 Brown Rd
Hephzibah, GA 30815

Mailing address

1557 Brown Rd
Hephzibah, GA 30815
Phone (706) 421-7033

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
CN0000066881GAMDNurse's Aide

NPI Registry JSON

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

{
    "created_epoch": "1400716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400716800000",
    "number": "1285046409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1557 BROWN RD",
            "city": "HEPHZIBAH",
            "state": "GA",
            "postal_code": "30815",
            "telephone_number": "706-421-7033",
            "fax_number": "706-814-5623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1557 BROWN RD",
            "city": "HEPHZIBAH",
            "state": "GA",
            "postal_code": "30815",
            "telephone_number": "706-421-7033",
            "fax_number": "706-814-5623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDEN BOSTIC",
        "first_name": "ALLISON",
        "middle_name": "DIONNE",
        "name_prefix": "Mrs.",
        "credential": "C.N.A CERTIFIED NURS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-22",
        "last_updated": "2014-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "GA",
            "license": "CN0000066881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hephzibah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2014; 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.