Doreen R Allison, CRNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

COA.05309 Issued in OH

Practice address

77 E Midlothian Blvd
Youngstown, OH 44507-2021

Phone

(330) 788-2487

Fax

(330) 788-2487

NPI assigned

Aug 3, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Quick Med Urgent Care LLCGroup PAC ID 5799016358, 49 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19801/brand/1/csg/1/fhir/r4
• Direct secure messaging: doreen.allison.1@19801.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/1576/brand/1/csg/22/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Quick Med Urgent Care LLC

  • Urgent Care Clinic/Center
  • Youngstown, OH
  • NPI 1528528726
  Medicare reassignment Care Compare group NPD
• Comprehensive Behavioral Health Associates, Inc.

  • Professional Counselor
  • Youngstown, OH
  • NPI 1114985413
  Medicare reassignment NPD
• Cope Treatment Centers in

  • Psychiatry Physician
  • East Liverpool, OH
  • NPI 1417022682
  Medicare reassignment NPD
• Openloop Healthcare Partners PC

  • General Practice Physician
  • Des Moines, IA
  • NPI 1245820661

  Nurse Practitioner

  NPD (past)

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466380800000",
    "number": "1285642793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48120 HOMESTEAD BLVD",
            "city": "EAST LIVERPOOL",
            "state": "OH",
            "postal_code": "439209688",
            "telephone_number": "330-386-6642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 E MIDLOTHIAN BLVD",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445072021",
            "telephone_number": "330-788-2487",
            "fax_number": "330-788-2487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLISON",
        "first_name": "DOREEN",
        "middle_name": "R",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-03",
        "last_updated": "2016-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "TP005645B",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "RN197805",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "COA.05309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allens Pharmaserv Inc
• Allergy Associates of Youngstown Inc
• Keyona L. Alli, STNA
• Portia Alli
• India Allie
• Herbert C Allison
• Alma Garcia Smith M.D LLC
• Marina Alper, CRNA
• Berley Alphonse
• Loren Alsdorf

• Nurse Practitioner in Youngstown, OH
• Providers in Youngstown, OH by specialty
• Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.