Active NPI
Nicole Allison, CNS
- Clinical Nurse Specialist
- Providence, RI
National Provider Identifier
1285660670
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Nurse Specialist
- License
- PPNS00066
- Practice address
- 520 Hope St
Providence, RI 02906-2532 - Phone
- (401) 276-4000
- NPI assigned
- Jun 25, 2006
- Last updated
- Mar 26, 2009
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN26129 | RI | |
| Clinical Nurse Specialist | 364S00000X | PPNS00066 | RI | Primary |
Addresses
Primary practice location
520 Hope St
Providence, RI 02906-2532
Mailing address
528 N Main St
Providence, RI 02904-5757
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3473-3 | Other | RI | BLUE CROSS |
| 407880 | Other | RI | BLUE CHIP |
| NA34283 | Medicaid | RI | |
| 1104847946 | Other | RI | THE PROVIDENCE CENTER NPI |
| 62-46853 | Other | RI | UNITED BEHAVIORAL HEALTH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 20, 2024 through Feb 20, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Specialist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PPNS00066 | RI | MD | Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Providence Center Inc | Registered Nurse | Past | Accepting new patients |
| The Providence Center | Past | Accepting new patients | |
| West Bay Psychiatric Associates | Past | Accepting new patients | |
| The Providence Center | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Community/Behavioral Health Agency
- Providence, RI
- NPI 1134977598
-
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Providence, RI
- NPI 1609818210
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Providence, RI
- NPI 1104847946
Registered Nurse
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Warwick, RI
- NPI 1568543361
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1238025600000",
"number": "1285660670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "528 N MAIN ST",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029045757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 HOPE ST",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029062532",
"telephone_number": "401-276-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLISON",
"first_name": "NICOLE",
"credential": "CNS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-25",
"last_updated": "2009-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "RI",
"license": "RN26129",
"primary": false
},
{
"code": "364S00000X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist",
"state": "RI",
"license": "PPNS00066",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "3473-3",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHIP",
"identifier": "407880",
"state": "RI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NA34283",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "THE PROVIDENCE CENTER NPI",
"identifier": "1104847946",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED BEHAVIORAL HEALTH",
"identifier": "62-46853",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.