Individual provider Active NPI

Aisha Ayanna Addison

  • Psychiatric/Mental Health Nurse Practitioner
  • Philadelphia, PA
National Provider Identifier
1831497601
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ008494 Issued in NJ
Practice address
2418 E York St
Philadelphia, PA 19125-3006
Phone
(302) 273-3926
Fax
(609) 604-1325
NPI assigned
Mar 3, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ008494 NJ
Family Nurse Practitioner 363LF0000X SP011279 PA
Family Nurse Practitioner 363LF0000X LG0001115 DE
Psychiatric/Mental Health Nurse Practitioner 363LP0808X SP026645 PA
Occupational Health Nurse Practitioner 363LX0106X LG0001115 DE
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ008494 NJ Primary

Addresses

Primary practice location

2418 E York St
Philadelphia, PA 19125-3006

Mailing address

525 Route 73 N Ste 117
Marlton, NJ 08053-3422
Phone (302) 273-3926

Other practice location 1

525 Route 73 N Ste 117
Marlton, NJ 08053-3422
Phone (302) 273-3926

Other practice location 2

920 Justison St
Wilmington, DE 19801-5150
Phone (302) 273-3926

Other practice location 3

1335 E Chocolate Ave
Hershey, PA 17033-1117
Phone (302) 273-3926

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, DE, NJ3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20110623000122 PA Practitioner - Nurse Practitioner 8224216189 Reassigns benefits to 2 organizations
I20180220002770 DE Practitioner - Nurse Practitioner 8224216189 Reassigns benefits to 2 organizations
I20181001001416 NJ Practitioner - Nurse Practitioner 8224216189 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
One Stop Wellness MD LLCGroup PAC ID 1951768001, 2 clinicians

Practice addresses (Care Compare)

2418 E York St
Philadelphia, PA 19125-3006
Phone (302) 273-3926

51 E Garwood Ave
Williamstown, NJ 08094-1601
Phone (302) 273-3926

525 Route 73 N
Suite 117
Marlton, NJ 08053-3422
Phone (302) 273-3926

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
LG0001115DEMDFamily Nurse Practitioner
26NJ008494NJMDPsychiatric/Mental Health Nurse Practitioner
SP026645PAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
One Stop Wellness MD LLC Psychiatric/Mental Health CurrentSince May 20, 2023 Accepting new patients
One Stop Wellness MD LLC Psychiatric/Mental Health Current Accepting new patients
Christiana Care Health Services, Inc Current Accepting new patients
Minuteclinic Diagnostic of New Jersey LLC Family CurrentSince Nov 4, 2021 Accepting new patients
Christiana Care Health Services Inc CurrentSince Dec 12, 2022 Accepting new patients
Christiana Care Health Services, Inc Psychiatric/Mental Health CurrentSince Dec 9, 2022 Accepting new patients
Christiana Care Health Services Inc Current Accepting new patients
Christiana Care Health Services Inc CurrentSince Dec 9, 2022 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Christiana Care Health Services, Inc Past Accepting new patients
Christiana Care Health Services Inc Past Accepting new patients

Locations

320 Christiana Medical Ctr
Newark, DE 19702
Phone (302) 273-3926

100 Sunnyside Rd
#2
Smyrna, DE 19977
Phone (302) 653-1900

471 Main St
Chatham, NJ 07928
Phone (973) 635-4636

4 Ryan Rd
Marlboro, NJ 07746
Phone (732) 431-8700

307 Egg Harbor Rd
Sewell, NJ 08080
Phone (856) 589-1177

161 Wilmington W Chester Pike
#P
Chadds Ford, PA 19317
Phone (610) 361-1042

2418 E York St
Philadelphia, PA 19125
Phone (215) 575-5906

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/5c7467fb-60f9-4172-add4-57667a5dfcfa/

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1299110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1831497601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 ROUTE 73 N STE 117",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080533422",
            "telephone_number": "302-273-3926",
            "fax_number": "609-604-1325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2418 E YORK ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191253006",
            "telephone_number": "302-273-3926",
            "fax_number": "609-604-1325"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "525 Route 73 N Ste 117",
            "address_purpose": "LOCATION",
            "city": "Marlton",
            "state": "NJ",
            "postal_code": "080533422",
            "country_code": "US",
            "telephone_number": "302-273-3926",
            "fax_number": "609-604-1325",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "920 Justison St",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "DE",
            "postal_code": "198015150",
            "country_code": "US",
            "telephone_number": "302-273-3926",
            "fax_number": "609-604-1325",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1335 E Chocolate Ave",
            "address_purpose": "LOCATION",
            "city": "Hershey",
            "state": "PA",
            "postal_code": "170331117",
            "country_code": "US",
            "telephone_number": "302-273-3926",
            "fax_number": "609-604-1325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADDISON",
        "first_name": "AISHA",
        "middle_name": "AYANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-03",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ008494",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP011279",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "LG0001115",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP026645",
            "primary": false
        },
        {
            "code": "363LX0106X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Occupational Health",
            "state": "DE",
            "license": "LG0001115",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ008494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.