Individual provider Active NPI

Olivia Y Alegre - Ipanag, MD

  • Pediatrics Physician
  • Portsmouth, VA
National Provider Identifier
1437129202
Registry record updated Apr 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
0101222184 Issued in VA
Practice address
446 Effingham St.
Ste 302
Portsmouth, VA 23704-4818
Phone
(757) 673-6277
Fax
(757) 673-6411
NPI assigned
Jan 25, 2006
Last updated
Apr 7, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 0101222184 VA Primary

Addresses

Primary practice location

446 Effingham St.
Ste 302
Portsmouth, VA 23704-4818

Mailing address

446 Effingham St Ste 302
Portsmouth, VA 23704-3464
Phone (757) 673-6277

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
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101222184VAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Portsmouth Pediatrics, PC Pediatrics Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9232/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302134400000",
    "number": "1437129202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "446 EFFINGHAM ST STE 302",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237043464",
            "telephone_number": "757-673-6277",
            "fax_number": "757-673-6411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "446 EFFINGHAM ST.",
            "address_2": "STE 302",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237044818",
            "telephone_number": "757-673-6277",
            "fax_number": "757-673-6411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEGRE - IPANAG",
        "first_name": "OLIVIA",
        "middle_name": "Y",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-25",
        "last_updated": "2011-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101222184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2011; 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.