Individual provider Active NPI

I. Juliana Allen, M.D

  • Family Medicine Physician
  • Silver Spring, MD
National Provider Identifier
1043742117
Registry record updated Oct 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D95782 Issued in MD
Practice address
12210 Plum Orchard Dr Ste 212
Silver Spring, MD 20904-7913
Phone
(301) 593-6844
Fax
(301) 593-3832
NPI assigned
Mar 29, 2017
Last updated
Oct 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X DC
Family Medicine Physician 207Q00000X D95782 MD Primary

Addresses

Primary practice location

12210 Plum Orchard Dr Ste 212
Silver Spring, MD 20904-7913

Mailing address

12210 Plum Orchard Dr Ste 212
Silver Spring, MD 20904-7913
Phone (301) 593-6844

Other practice location 1

6128 Landover Rd
Cheverly, MD 20785-1016
Phone (301) 772-1112

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D95782MDMDFamily Medicine Physician

Interoperability endpoints

  • Direct secure messaging: iyaeneomie.julianaallen@mim.eclinicaldirectplus.com

NPI Registry JSON

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

{
    "created_epoch": "1490745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728000000000",
    "number": "1043742117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12210 PLUM ORCHARD DR STE 212",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209047913",
            "telephone_number": "301-593-6844",
            "fax_number": "301-593-3832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12210 PLUM ORCHARD DR STE 212",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209047913",
            "telephone_number": "301-593-6844",
            "fax_number": "301-593-3832"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6128 Landover Rd",
            "address_purpose": "LOCATION",
            "city": "Cheverly",
            "state": "MD",
            "postal_code": "207851016",
            "country_code": "US",
            "telephone_number": "301-772-1112",
            "fax_number": "202-594-0376",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "I.",
        "middle_name": "JULIANA",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-29",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "DC",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D95782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.