Alla A Dodatko, RN

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

License

587631-1 Issued in NY

Practice address

1701 Grant Ave
Philadelphia, PA 19115-3160

Phone

(215) 464-3838

Fax

(215) 464-3899

NPI assigned

Jan 22, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Milestone Rehabilitation, LLC

  • Clinic/Center
  • Philadelphia, PA
  • NPI 1528310604
  NPD (past)

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

{
    "created_epoch": "1200960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200960000000",
    "number": "1407033467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9132 OLD NEWTOWN RD APT B8",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191154917",
            "telephone_number": "215-677-4559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 GRANT AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191153160",
            "telephone_number": "215-464-3838",
            "fax_number": "215-464-3899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DODATKO",
        "first_name": "ALLA",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-22",
        "last_updated": "2008-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "NY",
            "license": "587631-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Earl Docktor, DDS
• Doctors Choice Hospice LLC
• Doctors Pharmacy
• Doctors Vision Care PC
• Hitika Doda
• William Dodd, DMD
• Kathryn Mohr Dodds, CRNP
• Sarah Dodds, MSN, CRNP
• Sherril Dodds
• Joshua E Dodes, LCSW

• Psychiatric/Mental Health Registered Nurse in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Psychiatric/Mental Health Registered Nurse in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.