Lisa Cornelia Allen

Primary specialty

Prosthetics Case ManagementTaxonomy code 1744P3200X

License

COSM.933895 Issued in OH

Practice address

2847 Whipple Ave NW
Canton, OH 44708-1531

Phone

(234) 804-1515

NPI assigned

Dec 6, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Revive Hair & Nail Solutions LLC

  • Durable Medical Equipment & Medical Supplies
  • Canton, OH
  • NPI 1609658996
  NPD Authorized official

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

{
    "created_epoch": "1701820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701820800000",
    "number": "1114794583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2219 34TH ST NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447092736",
            "telephone_number": "234-804-1515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2847 WHIPPLE AVE NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447081531",
            "telephone_number": "234-804-1515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "LISA",
        "middle_name": "CORNELIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-06",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "OH",
            "license": "COSM.933895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allegiance Pharmacy
• Jacqueline Allen-Oneal
• Andrew Allen, LPCC-S
• Christopher Allen
• Courtney N Allen, DOU
• Mark R Allen, LCDCII
• Patrick L Allen
• Rebecca Ann Allen, PT, DPT.
• Victoria Lynn Allen
• Allgen House Calls LLC

• Prosthetics Case Management in Canton, OH
• Providers in Canton, OH by specialty
• Prosthetics Case Management in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; 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.