Active NPI
Angela E Sison, CCC-A, RN
- Registered Nurse
- Camp Hill, PA
National Provider Identifier
1306820204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 0001296040
- Practice address
- 30 Hunter LN
Camp Hill, PA 17011-2400 - Phone
- (800) 748-3243
- NPI assigned
- Dec 4, 2005
- Last updated
- Nov 19, 2021
- 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 | 0001296040 | VA | Primary |
| Audiologist | 231H00000X | 00004635 | WA |
Addresses
Primary practice location
30 Hunter LN
Camp Hill, PA 17011-2400
Mailing address
30 Hunter LN
Camp Hill, PA 17011-2400
Phone (800) 748-3243
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306820204 | Medicaid | WA |
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)
- Enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0001296040 | VA | MD | Registered Nurse |
| 00004635 | WA | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637280000000",
"number": "1306820204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 HUNTER LN",
"city": "CAMP HILL",
"state": "PA",
"postal_code": "170112400",
"telephone_number": "800-748-3243"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 HUNTER LN",
"city": "CAMP HILL",
"state": "PA",
"postal_code": "170112400",
"telephone_number": "800-748-3243"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SISON",
"first_name": "ANGELA",
"middle_name": "E",
"credential": "CCC-A, RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-04",
"last_updated": "2021-11-19",
"certification_date": "2021-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "VA",
"license": "0001296040",
"primary": true
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "WA",
"license": "00004635",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1306820204",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Camp Hill, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.