Individual provider Active NPI

Allison Rose Arida, N.P.

  • Psychiatric/Mental Health Nurse Practitioner
  • Tonawanda, NY
National Provider Identifier
1821461567
Registry record updated Apr 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F402568-1 Issued in NY
Practice address
1491 Sheridan Dr
Suite 100
Tonawanda, NY 14217-1234
Phone
(716) 332-4476
Fax
(716) 332-4479
NPI assigned
Nov 3, 2015
Last updated
Apr 16, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F339859 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F402568-1 NY Primary

Addresses

Primary practice location

1491 Sheridan Dr
Suite 100
Tonawanda, NY 14217-1234

Mailing address

254 Franklin St
Buffalo, NY 14202-1932
Phone (716) 852-1117

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160915001497 NY Practitioner - Nurse Practitioner 7113210865 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
339859NYMDFamily Medicine Physician
F339859NYMDFamily Nurse Practitioner
F402568-1NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Niagara Falls Memorial Medical Center CurrentSince Mar 31, 2018 Accepting new patients
Niagara Falls Memorial Medical Center CurrentSince Mar 31, 2018 Accepting new patients
Western New York Immediate Medical Care LLC CurrentSince Dec 18, 2017 Accepting new patients
Western New York Immediate Medical Care LLC CurrentSince Dec 18, 2017 Accepting new patients

Locations

2099 Niagara Falls Blvd
Amherst, NY 14228
Phone (716) 204-2273

1801 Grand Island Blvd
#3
Grand Island, NY 14072
Phone (716) 332-4476

621 10th St
North Falls, NY 14301
Phone (716) 278-4000

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/3c975af8-28ae-4d97-adec-66228015b5a8/

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": "1446508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555372800000",
    "number": "1821461567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "254 FRANKLIN ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142021932",
            "telephone_number": "716-852-1117",
            "fax_number": "716-852-1110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1491 SHERIDAN DR",
            "address_2": "SUITE 100",
            "city": "TONAWANDA",
            "state": "NY",
            "postal_code": "142171234",
            "telephone_number": "716-332-4476",
            "fax_number": "716-332-4479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARIDA",
        "first_name": "ALLISON",
        "middle_name": "ROSE",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-03",
        "last_updated": "2019-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F339859",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F402568-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tonawanda, NY

Sources for this page

Verify at the official NPI Registry.