DISA XAYAVONGSONE NP NPI 1487427886

NPI Information

  • NPI: 1487427886
  • Provider Name: DISA XAYAVONGSONE, NP
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • Address: 107 INSTITUTE ST
    JAMESTOWN, NY
    ZIP 14701
  • Phone: (716) 484-4334

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NPI Details

Disa Xayavongsone, NP is a psychiatric/mental health nurse practitioner in Jamestown, NY. Disa Xayavongsone, NP NPI is 1487427886. 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:

107 INSTITUTE ST
JAMESTOWN, NY
ZIP 14701-628
Phone: (716) 484-4334

The enumeration date for this NPI number is 11/7/2023 and was last updated on 7/14/2024.

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
1363LP0808XNurse PractitionerPsychiatric/Mental Health404954NEW YORKYes
2163W00000XRegistered Nurse743043NEW YORKNo

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: 11/21/2025

NPI Synchronization or Removal

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