Gina Alessia, RN, BSN,APN-CNS,CWCN
Individual provider Active NPI Clinical Nurse Specialist · Hobart, IN
NPI 1891900528 · NPPES record last updated Oct 16, 2015
Key facts
- NPI
- 1891900528
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Nurse Specialist 364S00000X
- License
- 28211957A (IN)
- Practice address
- 320 W 61St Ave
Hobart, IN 46342-6490 - Phone
- (219) 947-6448
- Fax
- (219) 947-6839
- NPI assigned
- May 14, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41251928 | IL | MD | Enterostomal Therapy Registered Nurse |
| 28211957A | IN | MD | Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Mary Medical Center Inc | Past | Accepting new patients | |
| Uro Surgery Associates LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Enterostomal Therapy Registered Nurse | 163WE0900X | 41251928 | IL | |
| Clinical Nurse Specialist | 364S00000X | 28211957A | IN | Yes |
Addresses
Primary practice location
320 W 61St Ave
Hobart, IN 46342-6490
Mailing address
320 W 61St Ave
Hobart, IN 46342-6490
Phone (773) 706-2306
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201204640 | Medicaid | IN |
Other providers in Hobart, IN
- Advanced Pain Care M.D., P.C.
- Advanced Surgical Care MD, PC
- Anwar Ahmad
- Samer Ajam
- Tarek Ajam
- Mohammad Yousef Alkhatib
- Leslie Allen
- Natalia Jaylin Ambriz-Vega
- Anderson Dental Center
- Emily Andres-Rivera
All providers in Hobart, IN · Clinical Nurse Specialist in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 16, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.