Individual provider Active NPI

Patricia L Allen, FNP-C

  • Family Nurse Practitioner
  • Amarillo, TX
National Provider Identifier
1013928043
Registry record updated Aug 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP111682 Issued in TX
Practice address
1900 SE 34TH Ave Unit 1700
Amarillo, TX 79118-6732
Phone
(806) 351-7530
NPI assigned
Aug 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 588420 TX
Family Nurse Practitioner 363LF0000X AP111682 TX Primary

Addresses

Primary practice location

1900 SE 34TH Ave Unit 1700
Amarillo, TX 79118-6732

Mailing address

5012 S US Highway 75 Ste 300
Denison, TX 75020-4589
Phone (806) 351-7530

Other identifiers 1

IdentifierTypeStateIssuer
169074501MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041122000171 TX Practitioner - Nurse Practitioner 5799740593 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carmen Purl MD PLLCGroup PAC ID 9032453766, 3 clinicians

Practice addresses (Care Compare)

1524 Guy Lane PLZ
Dumas, TX 79029-5542
Phone (806) 948-1459

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
588420TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carmen Purl MD PLLC CurrentSince Sep 1, 2021 Accepting new patients
FMC Medical Foundation, Inc. Family Past Accepting new patients
FMC Clinics, P.a. Family Past Accepting new patients
Family Medicine Centers Lab L P Past Accepting new patients

Locations

1524 Guy Lane Plz
Dumas, TX 79029
Phone (806) 948-1459

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565913600000",
    "number": "1013928043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5012 S US HIGHWAY 75 STE 300",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750204589",
            "telephone_number": "806-351-7530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 SE 34TH AVE UNIT 1700",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791186732",
            "telephone_number": "806-351-7530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "PATRICIA",
        "middle_name": "L",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-11",
        "last_updated": "2019-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "588420",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP111682",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "169074501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

Verify at the official NPI Registry.