Ilene Alt, N.P.

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

F360040 Issued in NY

Practice address

4575 Main St
Amherst, NY 14226-4567

Phone

(716) 633-4575

Fax

(716) 633-4576

NPI assigned

Jan 4, 2006

Last updated

Apr 29, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Evergreen Women's Health Group, LLP

  • Obstetrics & Gynecology Physician
  • West Seneca, NY
  • NPI 1356308498
  NPD (past)
• Genesee Valley Group Health Association

  dba Lifetime Health Medical Group

  • Clinic/Center
  • Amherst, NY
  • NPI 1295751261
  NPD (past)

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

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304035200000",
    "number": "1831177344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4575 MAIN ST",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142264567",
            "telephone_number": "716-633-4575",
            "fax_number": "716-633-4576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4575 MAIN ST",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142264567",
            "telephone_number": "716-633-4575",
            "fax_number": "716-633-4576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALT",
        "first_name": "ILENE",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-04",
        "last_updated": "2011-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NY",
            "license": "F360040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IHA",
            "identifier": "9511820",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00021042303",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02343451",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "000560305006",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allergy & Asthma Care PC
• Baraa Alnaji, RPH
• Faidi Alnakeeb, RPH
• Colleen Aloian
• Shereen Alrashdan, MD
• Frank Justin Altman, DDS
• Peter Anthony Alvarado, LCSW-R
• William M Alvarado, PA-C
• Am-Ton Optical Inc. (Sterling Optical)
• Ambulatory Medical Anesthesia Service, PC

• Women's Health Nurse Practitioner in Amherst, NY
• Providers in Amherst, NY by specialty
• Women's Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.

Verify at the official NPI Registry.