Individual provider Active NPI

Jessica Susan Allison, CM, LM

  • Midwife
  • Auburn, NY
National Provider Identifier
1669866091
Registry record updated Aug 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
001676 Issued in NY
Practice address
143 North St
Auburn, NY 13021
Phone
(315) 252-5028
Fax
(315) 252-1587
NPI assigned
Mar 24, 2015
Last updated
Aug 14, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X 001676 NY Primary

Addresses

Primary practice location

143 North St
Auburn, NY 13021

Mailing address

17 Lansing Street
Attn: C. McLoud
Auburn, NY 13021-1983
Phone (315) 567-0455

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160705000223 NY Practitioner - Certified Nurse Midwife (CNM) 8820380389 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Auburn Community Hospital CurrentSince Jan 6, 2022 Accepting new patients
Guthrie Medical Group, P.C. CurrentSince Jul 1, 2023 Accepting new patients
Auburn Memorial Medical Services, PC CurrentSince Aug 1, 2018 Accepting new patients
Guthrie Medical Group, P.C. CurrentSince Jul 1, 2023 Accepting new patients
Auburn Community Hospital CurrentSince Jan 6, 2022 Accepting new patients
Auburn Memorial Medical Services, PC CurrentSince Aug 1, 2018 Accepting new patients
Guthrie Medical Group PC Past Accepting new patients
Guthrie Cortland Medical Center Past Accepting new patients

Locations

143 North St
Auburn, NY 13021
Phone (315) 252-6890

17 Lansing St
#C
Auburn, NY 13021
Phone (315) 567-0455

17 Lansing St
Ste 201
Auburn, NY 13021
Phone (315) 252-7434

77 Nelson St
Ste 120
Auburn, NY 13021
Phone (315) 252-7550

130 Center Way
Corning, NY 14830
Phone (607) 936-9971

141 Groton Ave
Cortland, NY 13045
Phone (607) 662-0103

17 Lansing St
Sennett, NY 13021
Phone (315) 255-7011

1 Guthrie Sq
Sayre, PA 18840
Phone (570) 887-3106

Interoperability endpoints

  • Direct secure messaging: jallison187304@direct-guthrie.org

Organizations & group practices 8

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": "1427155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534204800000",
    "number": "1669866091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 LANSING STREET",
            "address_2": "ATTN: C. MCLOUD",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130211983",
            "telephone_number": "315-567-0455",
            "fax_number": "315-253-1795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 NORTH ST",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "13021",
            "telephone_number": "315-252-5028",
            "fax_number": "315-252-1587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLISON",
        "first_name": "JESSICA",
        "middle_name": "SUSAN",
        "name_prefix": "Ms.",
        "credential": "CM, LM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-24",
        "last_updated": "2018-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "NY",
            "license": "001676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, NY

Sources for this page

Verify at the official NPI Registry.