Active NPI
Khadijatu Allie
- Community Health Registered Nurse
- New York, NY
National Provider Identifier
1649996901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Registered Nurse
- License
- 562076
- Practice address
- 754 E 6TH St # 10010
New York, NY 10009-6904 - Phone
- (212) 677-7400
- NPI assigned
- Oct 18, 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 | 562076 | NY | Primary |
Addresses
Primary practice location
754 E 6TH St # 10010
New York, NY 10009-6904
Mailing address
201 W 121St St Apt 4B
New York, NY 10027-6263
Phone (917) 518-8639
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://adaptcommunitynetwork.org/ | Direct |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 562076 | NY | MD | Community Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666051200000",
"number": "1649996901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 W 121ST ST APT 4B",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100276263",
"telephone_number": "917-518-8639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "754 E 6TH ST # 10010",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100096904",
"telephone_number": "212-677-7400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLIE",
"first_name": "KHADIJATU",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-18",
"last_updated": "2022-10-18",
"certification_date": "2022-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "163WC1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Community Health",
"state": "NY",
"license": "562076",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://adaptcommunitynetwork.org/",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "754 E 6th St # 10010",
"city": "New York",
"state": "NY",
"country_code": "US",
"postal_code": "100096904",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in New York, NY
- Alliance Dental Arts, P.C.
- Alliance Diagnostic Laboratory Corp
- Alliance Medical &Wellness PLLC
- Alliance Medical Care PC
- Alliance Nursing Staffing of New York, Inc.
- Yvonne I Allie, LCAT, NYPSYA
- Allied Medical and Diagnostic Services, Dispensary
- Allied Psychological Services of New York, PLLC
- Allison Berwald LCSW PLLC
- Amy Elizabeth Allison, PHD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.