Allisha Rose Brimmer, RN, LPN
Individual provider Active NPI Registered Nurse · Adams Center, NY
NPI 1477825347 · NPPES record last updated Apr 10, 2022
Key facts
- NPI
- 1477825347
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 827014-01 (NY)
- Practice address
- 17693 County Route 76
Adams Center, NY 13606-2141 - Phone
- (315) 506-3185
- NPI assigned
- Feb 7, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 827014-01 | NY | MD | Registered Nurse |
| 308552-1 | NY | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A Plus LPN Nursing, P.C. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 308552-1 | NY | |
| Registered Nurse | 163W00000X | 827014-01 | NY | Yes |
Addresses
Primary practice location
17693 County Route 76
Adams Center, NY 13606-2141
Mailing address
17693 County Route 76
Adams Center, NY 13606-2141
Phone (315) 506-3185
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03419945 | Medicaid | NY |
Other providers in Adams Center, NY
All providers in Adams Center, NY · Registered Nurse in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 10, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.