Active NPI
Nelly Alley Allen, MBBS
- Student in an Organized Health Care Education/Training Program
- Sebring, FL
National Provider Identifier
1013708650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- 41897
- Practice address
- 6325 US Highway 27 N Ste 201
Sebring, FL 33870-8226 - Phone
- (863) 382-9600
- NPI assigned
- May 14, 2025
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 41897 | FL | Primary |
Addresses
Primary practice location
6325 US Highway 27 N Ste 201
Sebring, FL 33870-8226
Mailing address
6325 US Highway 27 N Ste 201
Sebring, FL 33870-8226
Phone (863) 382-9600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41897 | Other | FL | FLORIDA MEDICAL BOARD |
Other names 1
- Nelly Alley Ejoh
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250521003296 | FL | Order and Referring Only - Family Practice | 3072032168 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41897 | FL | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747180800000",
"number": "1013708650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6325 US HIGHWAY 27 N STE 201",
"city": "SEBRING",
"state": "FL",
"postal_code": "338708226",
"telephone_number": "863-382-9600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6325 US HIGHWAY 27 N STE 201",
"city": "SEBRING",
"state": "FL",
"postal_code": "338708226",
"telephone_number": "863-382-9600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEN",
"first_name": "NELLY",
"middle_name": "ALLEY",
"credential": "MBBS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-05-14",
"last_updated": "2025-05-14",
"certification_date": "2025-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "FL",
"license": "41897",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA MEDICAL BOARD",
"identifier": "41897",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "NELLY",
"last_name": "EJOH",
"middle_name": "ALLEY",
"credential": "MBBS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Sebring, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.