Active NPI
Ann Allerton, R.N.
- Student in an Organized Health Care Education/Training Program
- Newark, NY
National Provider Identifier
1790054575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- 378647
- Practice address
- 701 Peirson Ave
Newark, NY 14513-2024 - Phone
- (315) 332-3305
- Fax
- (315) 332-3337
- NPI assigned
- Dec 22, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 378647 | NY | Primary |
Addresses
Primary practice location
701 Peirson Ave
Newark, NY 14513-2024
Mailing address
701 Peirson Ave
Newark, NY 14513-2024
Phone (315) 332-3305
Other names 1
- Miss Ann Versage
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)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 378647 | NY | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1324512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324512000000",
"number": "1790054575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 PEIRSON AVE",
"city": "NEWARK",
"state": "NY",
"postal_code": "145132024",
"telephone_number": "315-332-3305",
"fax_number": "315-332-3337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 PEIRSON AVE",
"city": "NEWARK",
"state": "NY",
"postal_code": "145132024",
"telephone_number": "315-332-3305",
"fax_number": "315-332-3337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLERTON",
"first_name": "ANN",
"name_prefix": "Mrs.",
"credential": "R.N.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-12-22",
"last_updated": "2011-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NY",
"license": "378647",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANN",
"last_name": "VERSAGE",
"prefix": "MISS",
"credential": "R.N.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Newark, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.