Active NPI
Allyson Henry
- Family Nurse Practitioner
- Moline, IL
National Provider Identifier
1841928595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209.025659
- Practice address
- 3061 7TH St Ste a
Moline, IL 61265-5903 - Phone
- (309) 249-0069
- NPI assigned
- Aug 10, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209.025659 | IL | Primary |
Addresses
Primary practice location
3061 7TH St Ste a
Moline, IL 61265-5903
Mailing address
3061 7TH St Ste a
Moline, IL 61265-5903
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209.025659 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hartman Pediatrics, LLC | Current | Accepting new patients |
Locations
3061 7th St
Ste A
Moline, IL 61265
Phone (309) 249-0069
Interoperability endpoints
- ahenry@hartman.pcc-direct.com
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Moline, IL
- NPI 1326539925
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660089600000",
"number": "1841928595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3061 7TH ST STE A",
"city": "MOLINE",
"state": "IL",
"postal_code": "612655903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3061 7TH ST STE A",
"city": "MOLINE",
"state": "IL",
"postal_code": "612655903",
"telephone_number": "309-249-0069"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENRY",
"first_name": "ALLYSON",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-10",
"last_updated": "2022-08-10",
"certification_date": "2022-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209.025659",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Moline, IL
- Heartland Healthcare Center of Moline (ProMedica Skilled Nursing and Rehabilitation (Moline))
- Heartland of Moline Il, LLC (ProMedica Skilled Nursing and Rehabilitation (Moline))
- Michelle Lee Heitz, DPT
- Help at Home, LLC
- Danette Henderson, HEARING SPECIALIST
- Colleen A Hensel, APN
- Heritage Woods of Moline Supportive Living Facility, LP (Heritage Woods of Moline)
- Thomas Jerome Herr, MD
- Sonia Herrera, ARNP
- Michael John Herrick, D.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.