Individual provider Active NPI

Nelly Alley Allen, MBBS

  • Student in an Organized Health Care Education/Training Program
  • Sebring, FL
National Provider Identifier
1013708650
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
41897 Issued in FL
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

Updated by the provider on May 14, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
41897OtherFLFLORIDA MEDICAL BOARD

Other names 1

  • Nelly Alley Ejoh Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250521003296 FL Order and Referring Only - Family PracticePractitioner - Family Practice 3072032168

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
41897FLMDStudent 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

Verify at the official NPI Registry.