NPI 1831497601 · live from the CMS NPI Registry
Aisha Ayanna Addison
Nurse Practitioner, Psych/Mental Health in Philadelphia, PA. National Provider Identifier 1831497601, active.
NPI record
| NPI | 1831497601 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Psych/Mental Health 363LP0808X |
| Practice location | 2418 E York St, Philadelphia, PA 19125 |
| Practice phone | 302-273-3926 |
| Mailing address | 525 Route 73 N Ste 117, Marlton, NJ 08053 |
| Enumerated | March 3, 2011 |
| Last updated | July 31, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Family | 363LF0000X | 26NJ008494 (NJ) |
| Nurse Practitioner, Family | 363LF0000X | SP011279 (PA) |
| Nurse Practitioner, Family | 363LF0000X | LG0001115 (DE) |
| Nurse Practitioner, Psych/Mental Health | 363LP0808X | SP026645 (PA) |
| Nurse Practitioner, Occupational Health | 363LX0106X | LG0001115 (DE) |
| Nurse Practitioner, Psych/Mental Health primary | 363LP0808X | 26NJ008494 (NJ) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.