Donna Allen, R.N.

Key facts

NPI

1104280148

Entity type

Individual (NPI type 1)

Primary specialty

Registered Nurse 163W00000X

License

RN311343L (PA)

Practice address

1402 Laurel Blvd Ste B
Pottsville, PA 17901-1427

Phone

(570) 628-2611

NPI assigned

Apr 6, 2016

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

Credentials

Registered Nurse

State licenses

Specialties & licenses

Addresses

Other names

• Ms. Donna Swetavage Former name

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 6, 2016.

{
    "created_epoch": "1459900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459900800000",
    "number": "1104280148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1402 LAUREL BLVD STE B",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179011427",
            "telephone_number": "570-628-2611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1402 LAUREL BLVD STE B",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179011427",
            "telephone_number": "570-628-2611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "DONNA",
        "name_prefix": "Mrs.",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-06",
        "last_updated": "2016-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN311343L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DONNA",
            "last_name": "SWETAVAGE",
            "prefix": "MS.",
            "credential": "R.N.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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