NPIMap

Individual provider Active NPI

John Clifford Allen, M.S., D.A.A.E.T.S.

  • Registered Nurse
  • Birmingham, AL
National Provider Identifier
1063455541
Registry record updated Nov 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
1-083260 Issued in AL
Practice address
5721 5TH CT S
Birmingham, AL 35212-3211
Phone
(205) 567-0832
NPI assigned
Jun 13, 2006
Last updated
Nov 26, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 1-083260 AL Primary
Legal Medicine 173000000X 5064 NY

Addresses

Primary practice location

5721 5TH CT S
Birmingham, AL 35212-3211

Mailing address

PO Box 531166
Mountain Brook, AL 35253-1166
Phone (205) 567-0832

Other identifiers 2

IdentifierTypeStateIssuer
2573723OtherAZUNITED HEALTH CARE
438196OtherAZAHCCCS

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
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Certified Registered Nurse, Master of Science

State licenses

LicenseStateTypeSpecialty
1-083260ALMDRegistered Nurse
5064NYMDLegal Medicine
2874CAMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesiologists Associated PC Nurse Anesthetist, Certified Registered Past Accepting new patients
Montgomery Anesthesia Associates, PC Nurse Anesthetist, Certified Registered PastSince Apr 20, 2025 Accepting new patients
Vaughan Regional Medical Center LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Pikes Peak Pain Management, LP PastSince Jan 12, 2009 Accepting new patients
White Mountain Pain Clinic, PLLC Past Accepting new patients
Lutheran Hospital Association of the San Luis Valley Past Accepting new patients
Amarillo Anesthesia Consultants PA Nurse Anesthetist, Certified Registered Past Accepting new patients
Anesthesiologists Associated PC Past Accepting new patients
Vaughan Regional Medical Center LLC Past Accepting new patients
Premier Anesthesia of Montgomery PC Nurse Anesthetist, Certified Registered Past Accepting new patients
Professional Anesthesia Associates, PC Nurse Anesthetist, Certified Registered PastSince Dec 28, 2008 Accepting new patients
Sunrise Anesthesia & Pain Management, PLLC Nurse Anesthetist, Certified Registered Past Accepting new patients
White Mountain Pain Clinic, PLLC Past Accepting new patients

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480118400000",
    "number": "1063455541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 531166",
            "city": "MOUNTAIN BROOK",
            "state": "AL",
            "postal_code": "352531166",
            "telephone_number": "205-567-0832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5721 5TH CT S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352123211",
            "telephone_number": "205-567-0832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "JOHN",
        "middle_name": "CLIFFORD",
        "credential": "M.S., D.A.A.E.T.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2016-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AL",
            "license": "1-083260",
            "primary": true
        },
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "NY",
            "license": "5064",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "2573723",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS",
            "identifier": "438196",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2016; 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.