Active NPI
Allison Pearson, DNP, FNP
- Family Nurse Practitioner
- Wallingford, CT
National Provider Identifier
1770058208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 7806
- Practice address
- 1243 S Broad St
Wallingford, CT 06492-1737 - Phone
- (203) 446-4555
- NPI assigned
- Oct 11, 2018
- 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 | 7806 | CT | Primary |
Addresses
Primary practice location
1243 S Broad St
Wallingford, CT 06492-1737
Mailing address
11 Old Mine Rd
Killingworth, CT 06419-2405
Phone (860) 604-3325
Other practice location 1
1283 Silas Deane Hwy
Wethersfield, CT 06109-4302
Phone (860) 249-8659
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1100 W Main St
Branford, CT 06405-4090
Phone (475) 221-6002
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7806 | CT | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MWL-Wallingford | Past | Accepting new patients | |
| MJS One, LLC | Past | Accepting new patients | |
| MWL-Wethersfield | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Family Medicine Physician
- East Haven, CT
- NPI 1962265934
-
- Family Medicine Physician
- Wethersfield, CT
- NPI 1730555053
-
- Family Medicine Physician
- Wallingford, CT
- NPI 1346858867
-
- Family Medicine Physician
- Wethersfield, CT
- NPI 1245848761
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709683200000",
"number": "1770058208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 OLD MINE RD",
"city": "KILLINGWORTH",
"state": "CT",
"postal_code": "064192405",
"telephone_number": "860-604-3325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1243 S BROAD ST",
"city": "WALLINGFORD",
"state": "CT",
"postal_code": "064921737",
"telephone_number": "203-446-4555"
}
],
"practiceLocations": [
{
"address_1": "1283 Silas Deane Hwy",
"address_purpose": "LOCATION",
"city": "Wethersfield",
"state": "CT",
"postal_code": "061094302",
"country_code": "US",
"telephone_number": "860-249-8659",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PEARSON",
"first_name": "ALLISON",
"credential": "DNP, FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-11",
"last_updated": "2024-03-06",
"certification_date": "2024-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CT",
"license": "7806",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wallingford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.