ALLISON L. WASTAK NP-C RN CCRN NPI 1093197923

NPI Information

NPI: 1093197923
Provider Name: ALLISON L. WASTAK, NP-C, RN, CCRN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
1910 OUTLET CENTER DR
OXNARD, CA
ZIP 93036
Phone: (805) 485-2400
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Allison L. Wastak, NP-C, RN, CCRN is a family nurse practitioner in Oxnard, CA with 9 years of experience. Allison L. Wastak, NP-C, RN, CCRN NPI is 1093197923. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1910 OUTLET CENTER DR
OXNARD, CA
ZIP 93036-677
Phone: (805) 485-2400
Fax: (805) 485-3025

The NPI 1093197923 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/27/2015 and was last updated on 1/23/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	0024172720	VIRGINIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1093197923	OTHER	VIRGINIA	VIRGINIA PREMIER HEALTH PLAN
2	1093197923	OTHER	VIRGINIA	OPTIMA HEALTH
3	-029	OTHER	VIRGINIA	TRICARE/CHAMPUS
4	1093197923	OTHER	VIRGINIA	USA MANAGED CARE
5	1093197923	MEDICAID	NORTH CAROLINA
6	1093197923	OTHER	VIRGINIA	CORVEL
7	1093197923	OTHER	VIRGINIA	MULTIPLAN
8	1093197923	MEDICAID	VIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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