Rose Allen, PH.D., CCC-A

Primary specialty

AudiologistTaxonomy code 231H00000X

License

3957 Issued in NC

Practice address

600 Moye Blvd
Ecu Physicians SLP, Allied Health & Nursing Building
Greenville, NC 27834-4300

Phone

(252) 744-6099

Fax

(252) 744-6148

NPI assigned

Aug 7, 2006

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 17, 2012.

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334620800000",
    "number": "1073522835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 751069",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282751069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 MOYE BLVD",
            "address_2": "ECU PHYSICIANS SLP, ALLIED HEALTH & NURSING BUILDING",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278344300",
            "telephone_number": "252-744-6099",
            "fax_number": "252-744-6148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "ROSE",
        "name_prefix": "Dr.",
        "credential": "PH.D., CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-07",
        "last_updated": "2012-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NC",
            "license": "3957",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NC",
            "identifier": "138R8",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7411539",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gary Blaine Allen
• Jayden Marie Allen, CRNA
• Kelly Allen, PTA
• Mayme Allen, SLP
• Nichole Jennings Allen, PHAMD, CPP
• Tiffany Allen, SLP
• Allergy Center, PA
• Allergy Partners, PLLC
• Allessandra M. Bennett Lowery, DDS, PLLC
• Daniel A Allette, BA

• All providers in Greenville, NC
• Audiologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2012; 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.