Karina Allen

Individual provider Active NPI Peer Specialist · Palmer, AK

NPI 1033716980 · NPPES record last updated Oct 27, 2020

Key facts

NPI
1033716980
Entity type
Individual (NPI type 1)
Primary specialty
Peer Specialist 175T00000X
Practice address
11921 E Palmer Wasilla Hwy
Palmer, AK 99645-8833
Phone
(907) 745-2634
NPI assigned
Oct 5, 2020
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Codi, Inc. Past
since Oct 11, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X Yes

Addresses

Primary practice location

11921 E Palmer Wasilla Hwy
Palmer, AK 99645-8833

Mailing address

PO Box 1907
Wasilla, AK 99687
Phone (907) 745-2634

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 27, 2020.

{
    "created_epoch": "1601856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1033716980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1907",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "99687",
            "telephone_number": "907-745-2634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11921 E PALMER WASILLA HWY",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996458833",
            "telephone_number": "907-745-2634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "KARINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-05",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmer, AK

All providers in Palmer, AK · Peer Specialist in Alaska

Sources for this page

Verify at the official NPI Registry.