Active NPI
Allison Leigh Wheeler, APRN
- Nurse Practitioner
- Louisville, KY
National Provider Identifier
1376781450
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 3006453
- Practice address
- 210 E Gray St
Suite 1105
Louisville, KY 40202-3900 - Phone
- (502) 583-1697
- Fax
- (502) 583-2120
- NPI assigned
- Jan 28, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 3006453 | KY | Primary |
Addresses
Primary practice location
210 E Gray St
Suite 1105
Louisville, KY 40202-3900
Mailing address
PO Box 776351
Chicago, IL 60677-6351
Phone (502) 588-9490
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100155330 | Medicaid | KY | |
| 201019870 | Medicaid | IN | |
| 000057119G | Other | KY | HUMANA - NNIKY |
| 0323040 | Other | KY | CIGNA - NNIKY |
| 124241 | Other | KY | SIHO - NNIKY |
| 50032280 | Other | KY | PASSPORT/PASSPORT ADVANTAGE - NNIKY |
| 000000707748 | Other | KY | ANTHEM - NNIKY |
Other names 1
- Allsion Leigh Mezoff
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469145600000",
"number": "1376781450",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 776351",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606776351",
"telephone_number": "502-588-9490",
"fax_number": "502-272-5116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 E GRAY ST",
"address_2": "SUITE 1105",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402023900",
"telephone_number": "502-583-1697",
"fax_number": "502-583-2120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHEELER",
"first_name": "ALLISON",
"middle_name": "LEIGH",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-01-28",
"last_updated": "2016-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "KY",
"license": "3006453",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100155330",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201019870",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA - NNIKY",
"identifier": "000057119G",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA - NNIKY",
"identifier": "0323040",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SIHO - NNIKY",
"identifier": "124241",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT/PASSPORT ADVANTAGE - NNIKY",
"identifier": "50032280",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM - NNIKY",
"identifier": "000000707748",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ALLSION",
"last_name": "MEZOFF",
"middle_name": "LEIGH",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.