Active NPI
Allyson Hallahan
- Family Nurse Practitioner
- Troy, MI
National Provider Identifier
1710357348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4704257157
- Practice address
- 1920 Livernois Rd
Troy, MI 48083-1770 - Phone
- (586) 431-1777
- NPI assigned
- Sep 24, 2015
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704257157 | MI | Primary |
Addresses
Primary practice location
1920 Livernois Rd
Troy, MI 48083-1770
Mailing address
4050 E 12 Mile Rd
Warren, MI 48092-2534
Other practice location 1
15120 Michigan Ave Ste A
Dearborn, MI 48126-2916
Phone (313) 843-8300
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)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550188800000",
"number": "1710357348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4050 E 12 MILE RD",
"city": "WARREN",
"state": "MI",
"postal_code": "480922534"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1920 LIVERNOIS RD",
"city": "TROY",
"state": "MI",
"postal_code": "480831770",
"telephone_number": "586-431-1777"
}
],
"practiceLocations": [
{
"address_1": "15120 Michigan Ave Ste A",
"address_purpose": "LOCATION",
"city": "Dearborn",
"state": "MI",
"postal_code": "481262916",
"country_code": "US",
"telephone_number": "313-843-8300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HALLAHAN",
"first_name": "ALLYSON",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-24",
"last_updated": "2019-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MI",
"license": "4704257157",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Troy, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.