Allison Tebolt, F.N.P.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F336937 Issued in NY

Practice address

11 Merrywood Rd
Wappingers Falls, NY 12590-1205

Phone

(845) 298-2586

NPI assigned

Jul 25, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• PM Pediatrics of Mamaroneck

  • Urgent Care Clinic/Center
  • Mamaroneck, NY
  • NPI 1073645180
  NPD (past)
• PM Pediatrics PC

  dba PM Pediatrics of Mamaroneck

  • Urgent Care Clinic/Center
  • Syosset, NY
  • NPI 1730212390
  NPD (past)

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

{
    "created_epoch": "1311552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311552000000",
    "number": "1700164787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 MERRYWOOD RD",
            "city": "WAPPINGERS FALLS",
            "state": "NY",
            "postal_code": "125901205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 MERRYWOOD RD",
            "city": "WAPPINGERS FALLS",
            "state": "NY",
            "postal_code": "125901205",
            "telephone_number": "845-298-2586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEBOLT",
        "first_name": "ALLISON",
        "credential": "F.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-25",
        "last_updated": "2011-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F336937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sankung Papa Susso, EDD.
• Taconic Innovations
• Aimee L. Taft, M.S.P.T.
• Yesim Tanyeri, DDS
• TC Hudson Valley Ambulance Corp. (Transcare)
• Courtney Nicole Tefft, OTR/L
• Alba Isabel Tejada
• The Avalon Assisted Living and Wellness Center
• Jester Thole, LPN
• Kiamani A Thomas, COTA/L

• Family Nurse Practitioner in Wappingers Falls, NY
• Providers in Wappingers Falls, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.