Individual provider Active NPI

Alycia Rasheen Ham, CRNP

  • Obstetrics & Gynecology Nurse Practitioner
  • Abington, PA
National Provider Identifier
1770867327
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
SP011627 Issued in PA
Practice address
1200 Old York Rd
Abington, PA 19001-3720
Phone
(214) 481-8946
Fax
(215) 481-4074
NPI assigned
Sep 30, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X SP011627 PA Primary

Addresses

Primary practice location

1200 Old York Rd
Abington, PA 19001-3720

Mailing address

1200 Old York Rd
Abington, PA 19001-3720
Phone (215) 481-8946

Other practice location 1

100 E Lancaster Ave
Suite 433 West
Wynnewood, PA 19096-3450
Phone (610) 896-8840

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150225000131 PA Practitioner - Nurse Practitioner 4688990351 Reassigns benefits to 1 organization
I20250417002014 PA Practitioner - Certified Nurse Midwife (CNM) 4688990351 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Abington Memorial HospitalGroup PAC ID 3274437736, 442 clinicians

Practice addresses (Care Compare)

1200 Old York Rd
Abington, PA 19001-3720
Phone (215) 481-4212

Hospital & facility affiliations

  • Jefferson Abington Hospital Hospital, Abington, PA, CCN 390231

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP011627PAMDObstetrics & Gynecology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Einstein Practice Plan, Inc. CurrentSince Sep 1, 2019 Accepting new patients
Einstein Practice Plan Inc Current Accepting new patients
Abington Memorial Hospital CurrentSince Apr 28, 2025 Accepting new patients
Abington Memorial Hospital CurrentSince Apr 28, 2025 Accepting new patients
Einstein Practice Plan Inc CurrentSince Sep 1, 2019 Accepting new patients
Einstein Practice Plan Inc Past Accepting new patients
Einstein Practice Plan, Inc Past Accepting new patients
Einstein Practice Plan Inc Past Accepting new patients
Womencare OB GYN, P.C. Past Accepting new patients

Locations

1200 York Rd
Abington, PA 19001
Phone (215) 481-2222

1245 Highland Ave
Ste 109
Abington, PA 19001
Phone (215) 481-3900

721 Arbor Way
Ste 106
Blue Bell, PA 19422
Phone (215) 366-1160

5501 Old York Rd
Ste 3
Philadelphia, PA 19141
Phone (215) 456-7180

1101 Market St
Fl 19
Philadelphia, PA 19107
Phone (215) 481-6836

5401 Old York Rd
Ste 4
Philadelphia, PA 19141
Phone (215) 456-6990

Organizations & group practices 9

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1317340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1770867327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 OLD YORK RD",
            "city": "ABINGTON",
            "state": "PA",
            "postal_code": "190013720",
            "telephone_number": "215-481-8946",
            "fax_number": "215-481-4074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 OLD YORK RD",
            "city": "ABINGTON",
            "state": "PA",
            "postal_code": "190013720",
            "telephone_number": "214-481-8946",
            "fax_number": "215-481-4074"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 E Lancaster Ave",
            "address_2": "Suite 433 West",
            "address_purpose": "LOCATION",
            "city": "Wynnewood",
            "state": "PA",
            "postal_code": "190963450",
            "country_code": "US",
            "telephone_number": "610-896-8840",
            "fax_number": "610-642-5148",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAM",
        "first_name": "ALYCIA",
        "middle_name": "RASHEEN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-30",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "PA",
            "license": "SP011627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abington, PA

Sources for this page

Verify at the official NPI Registry.