Individual provider Active NPI

Allison Nicole Von Carlowitz, CNP

  • Family Nurse Practitioner
  • Mentor, OH
National Provider Identifier
1750871380
Registry record updated May 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
LE-00023649 Issued in OH
Practice address
8491 Esther St
Mentor, OH 44060-6007
Phone
(440) 409-1032
NPI assigned
May 18, 2018
Last updated
May 18, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X LE-00023649 OH Primary

Addresses

Primary practice location

8491 Esther St
Mentor, OH 44060-6007

Mailing address

8491 Esther St
Mentor, OH 44060-6007
Phone (440) 409-1032

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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

Enrollment IDStateProvider typePAC IDDetails
I20211217001520 SC Practitioner - Nurse Practitioner 9335493352 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LE-00023649OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University Medical Associates of the Medical University of South Carol CurrentSince Oct 10, 2022 Accepting new patients
University Medical Associates of the Medical University of South Carol Current Accepting new patients
24 On Physicians of SC, LLC CurrentSince Nov 15, 2021 Accepting new patients
University Medical Associates of the Medical University of South Carol CurrentSince Oct 10, 2022 Accepting new patients

Locations

171 Ashley Ave
Charleston, SC 29425
Phone (843) 792-2123

316 Calhoun St
Charleston, SC 29401
Phone (843) 724-2000

Organizations & group practices 4

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": "1526601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526601600000",
    "number": "1750871380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8491 ESTHER ST",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440606007",
            "telephone_number": "440-409-1032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8491 ESTHER ST",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440606007",
            "telephone_number": "440-409-1032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VON CARLOWITZ",
        "first_name": "ALLISON",
        "middle_name": "NICOLE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-18",
        "last_updated": "2018-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "LE-00023649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mentor, OH

Sources for this page

Verify at the official NPI Registry.