Kymberly Rhea Allen, FNP
Individual provider Active NPI Registered Nurse · Monroe, NC
NPI 1093858201 · NPPES record last updated Mar 11, 2009
Key facts
- NPI
- 1093858201
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 182307 (NC)
- Practice address
- 1224 W Roosevelt Blvd
Monroe, NC 28110-2820 - Phone
- (704) 296-4800
- Fax
- (704) 296-4887
- NPI assigned
- Feb 15, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 182307 | NC | MD | Registered Nurse |
| 118572 | NC | MD | Family Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 182307 | NC | Yes |
| Family Nurse Practitioner | 363LF0000X | 118572 | NC |
Addresses
Primary practice location
1224 W Roosevelt Blvd
Monroe, NC 28110-2820
Mailing address
1224 W Roosevelt Blvd
Monroe, NC 28110-2820
Phone (704) 296-4800
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7004310 | Medicaid | NC | |
| NP1273 | Medicaid | SC |
Other providers in Monroe, NC
- Meghan Alexander
- Victoria Lynn Alexander
- Ali Khoshnevis O.D. PLLC
- Ali Nili, DMD, P.a.
- Fatima Ali
- Lynn M. Allen
- Alley Cat Developmental Services
- Jennyl Alley
- Brandon C Allison
- David Campbell Allison
All providers in Monroe, NC · Registered Nurse in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 11, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.