Active NPI
Allison Leigh Penny, APRN
- Pediatric Nurse Practitioner
- Orlando, FL
National Provider Identifier
1003475211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- APRN9367136
- Practice address
- 615 E Princeton St Ste 510
Orlando, FL 32803-1424 - Phone
- (407) 898-1210
- Fax
- (407) 898-2909
- NPI assigned
- Jun 11, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | APRN9367136 | FL | Primary |
Addresses
Primary practice location
615 E Princeton St Ste 510
Orlando, FL 32803-1424
Mailing address
PO Box 691597
Orlando, FL 32869-1597
Phone (407) 898-1210
Other practice location 1
200 E Marks St
Orlando, FL 32803-3819
Phone (407) 284-6460
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PC866 | Other | FL | FL HF MA |
Other names 1
- Allison Leigh Bombalier
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN9367136 | FL | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carrasquero Pediatrics and Associates | Past | Accepting new patients | |
| Privia Medical Group Florida, LLC | Past | Accepting new patients |
Interoperability endpoints
- allison.penny.1@8042.direct.athenahealth.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Specialist
- Longwood, FL
- NPI 1134478605
-
- General Practice Physician
- Indialantic, FL
- NPI 1700649043
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653955200000",
"number": "1003475211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 691597",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328691597",
"telephone_number": "407-898-1210",
"fax_number": "407-898-2909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 E PRINCETON ST STE 510",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328031424",
"telephone_number": "407-898-1210",
"fax_number": "407-898-2909"
}
],
"practiceLocations": [
{
"address_1": "200 E Marks St",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328033819",
"country_code": "US",
"telephone_number": "407-284-6460",
"fax_number": "407-284-6461",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PENNY",
"first_name": "ALLISON",
"middle_name": "LEIGH",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-06-11",
"last_updated": "2022-05-31",
"certification_date": "2022-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "FL",
"license": "APRN9367136",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FL HF MA",
"identifier": "PC866",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ALLISON",
"last_name": "BOMBALIER",
"middle_name": "LEIGH",
"credential": "APRN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.