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DISA XAYAVONGSONE NP
NPI 1487427886
Nurse Practitioner - Psychiatric/Mental Health in Jamestown, NY

Active since November 07, 2023
107 INSTITUTE ST, JAMESTOWN, NY 14701(716) 484-4334 Get Directions Write a Review

NPPES record last updated: March 2, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 2, 2026, Jul 14, 2024, Jun 18, 2024 and 1 more (4 updates tracked since 2023).

About Disa Xayavongsone Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DISA XAYAVONGSONE NP (NPI 1487427886) is an individual psychiatric/mental health provider in Jamestown, New York, licensed in New York (404954) and active in the NPI registry since November 2023. She maintains a secondary practice location in Buffalo.

NPPES Registry Identity

NPI1487427886
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameDISA XAYAVONGSONECredential: NP
Location Address107 INSTITUTE STJamestown, NY 14701-6628
Mailing Address107 Institute StJamestown, NY 14701-6628
Phone(716) 484-4334
Sole ProprietorNo
Enumeration DateNovember 7, 2023
Last NPPES UpdateMarch 2, 20264 updates tracked since enumeration
NPPES CertifiedMarch 2, 2026
✔ NPI 1487427886 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NY · 404954
Also ListedRegistered NurseTaxonomy 163W00000X · License 743043 (NY)
107 INSTITUTE ST, Jamestown, NY 14701
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Secondary Practice Location 1

Location 1768 Delaware AveBuffalo, NY 14209-2006 · Phone (607) 237-3727

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHELSEA JULIANN MURPHY M.S. CCC-SLP
Speech-Language Pathologist
107 INSTITUTE ST
JAMESTOWN, NY 14701
Chautauqua County (716) 484-4334
DR. PAUL GORDON HENRY ROBBINS DO
Pediatrics
107 INSTITUTE ST
JAMESTOWN, NY 14701
Chautauqua County (716) 484-4334
KATHERINE REAGLE
Counselor (Mental Health)
107 INSTITUTE ST
JAMESTOWN, NY 14701
Chautauqua County (716) 484-4334
RACHEL LIN JOHNSON CPNP-PC
Nurse Practitioner (Pediatrics)
107 INSTITUTE ST
JAMESTOWN, NY 14701
Chautauqua County (716) 484-4334
MARY JILL VAILLANCOURT CRNP
Nurse Practitioner (Adult Health)
107 INSTITUTE ST
JAMESTOWN, NY 14701
Chautauqua County (716) 484-4334
DR. ZACHARY TAYLOR KIENDL DC
Chiropractor
107 INSTITUTE ST
JAMESTOWN, NY 14701
Chautauqua County (716) 484-4334
JENNIFER KAY WILCOX NP
Nurse Practitioner (Family)
107 INSTITUTE ST
JAMESTOWN, NY 14701
Chautauqua County (716) 484-4334
NICOLE PITTS LCSW-R
Social Worker (Clinical)
107 INSTITUTE ST
JAMESTOWN, NY 14701
Chautauqua County (716) 484-4334

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Disa Xayavongsone's NPI number?

The NPI number for Disa Xayavongsone is 1487427886. It was assigned to this individual provider in the NPPES registry on November 7, 2023.

Where is Disa Xayavongsone located?

Disa Xayavongsone practices at 107 Institute St, Jamestown, NY 14701. The listed phone number is (716) 484-4334.

What is Disa Xayavongsone's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Disa Xayavongsone was last updated on March 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.