Allison T Bansen, ANP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

206677 Issued in NC

Practice address

6428 W Wilkinson Blvd Ste 210
Belmont, NC 28012-2858

Phone

(704) 616-9691

NPI assigned

Jun 28, 2012

Last updated

Mar 17, 2018By 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 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Hometown House Calls, PLLC

  • Adult Health Nurse Practitioner
  • Belmont, NC
  • NPI 1356855092
  Authorized official Same address or phone
• Caromont Medical Group Inc

  dba CaroMont Family Medicine

  • Family Medicine Physician
  • Stanley, NC
  • NPI 1245419845
  NPD
• Caromont Medical Group Inc

  • Family Medicine Physician
  • Gastonia, NC
  • NPI 1356314272
  NPD
• Caromont Medical Group Inc

  • Family Medicine Physician
  • Stanley, NC
  • NPI 1972301380
  NPD

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

{
    "created_epoch": "1340841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1932463544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6428 W WILKINSON BLVD STE 210",
            "city": "BELMONT",
            "state": "NC",
            "postal_code": "280122858",
            "telephone_number": "704-616-9691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6428 W WILKINSON BLVD STE 210",
            "city": "BELMONT",
            "state": "NC",
            "postal_code": "280122858",
            "telephone_number": "704-616-9691"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1040 X Ray Dr",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "Gastonia",
            "state": "NC",
            "postal_code": "280545438",
            "country_code": "US",
            "telephone_number": "704-884-0064",
            "fax_number": "704-884-0074",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1040 X Ray Dr",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "Gastonia",
            "state": "NC",
            "postal_code": "280545438",
            "country_code": "US",
            "telephone_number": "704-884-0064",
            "fax_number": "704-884-0074",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BANSEN",
        "first_name": "ALLISON",
        "middle_name": "T",
        "credential": "ANP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-28",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "206677",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NC",
            "license": "206677",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NC",
            "license": "206677",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valantina Awah Nsoh, DNP
• Evelyn Maiers Bailey, RESPIRATORY THERAPY
• Jaclyn N Bajek, FNP
• Deborah Evelyn Baker, RPH
• Tracei Denise Ball, MD
• Kyndall Barber
• Kara Elizabeth Barrett, OD
• Michelle Bastos
• Maxine Valencia Beckvermit, LCSW
• Anne Beethe, MA, LAT, CSCS

• Nurse Practitioner in Belmont, NC
• Providers in Belmont, NC by specialty
• Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.