Individual provider Active NPI

Khadijatu Allie

  • Community Health Registered Nurse
  • New York, NY
National Provider Identifier
1649996901
Registry record updated Oct 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Registered NurseTaxonomy code 163WC1500X
License
562076 Issued in NY
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

Updated by the provider on Oct 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
562076NYMDCommunity 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

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.

Verify at the official NPI Registry.