Active NPI
Allison Wollyung, RN
- Community Health Registered Nurse
- Pottsville, PA
National Provider Identifier
1376279349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Registered Nurse
- License
- RN331177L
- Practice address
- 1402 Laurel Blvd Ste B
Pottsville, PA 17901-1427 - Phone
- (570) 628-2611
- Fax
- (570) 628-2616
- NPI assigned
- Aug 1, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | RN331177L | PA | Primary |
Addresses
Primary practice location
1402 Laurel Blvd Ste B
Pottsville, PA 17901-1427
Mailing address
1402 Laurel Blvd Ste B
Pottsville, PA 17901-1427
Phone (570) 628-2611
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN331177L | PA | MD | Community Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659312000000",
"number": "1376279349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1402 LAUREL BLVD STE B",
"city": "POTTSVILLE",
"state": "PA",
"postal_code": "179011427",
"telephone_number": "570-628-2611",
"fax_number": "570-628-2616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1402 LAUREL BLVD STE B",
"city": "POTTSVILLE",
"state": "PA",
"postal_code": "179011427",
"telephone_number": "570-628-2611",
"fax_number": "570-628-2616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLLYUNG",
"first_name": "ALLISON",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-01",
"last_updated": "2022-08-01",
"certification_date": "2022-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "163WC1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Community Health",
"state": "PA",
"license": "RN331177L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pottsville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.