Katie Jean Allen, ARNP
Individual provider Active NPI Family Nurse Practitioner · Blacksburg, VA
NPI 1124533872 · NPPES record last updated Jun 9, 2022
Key facts
- NPI
- 1124533872
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 0024180442 (VA)
- Practice address
- 981 Litton LN
Blacksburg, VA 24060-6340 - Phone
- (540) 558-2400
- Fax
- (540) 953-5024
- NPI assigned
- Dec 4, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Carilion Healthcare Corporation
Practice addresses (Care Compare)
981 Litton LN
Blacksburg, VA 24060-6340
Phone (540) 558-2400
Hospital & facility affiliations
- Carilion New River Valley Medical Center
- Lewisgale Hospital Montgomery
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220822003326 | VA | Practitioner - Nurse Practitioner | 6800156365 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024180442 | VA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carilion Healthcare Corporation | Current |
Accepting new patients | |
| Carilion Healthcare Corporation | Current |
Accepting new patients |
Locations
981 Litton Ln
Blacksburg, VA 24060
Phone (540) 558-2400
213 S Jefferson St
Ste 1006
Roanoke, VA 24011
Phone (540) 224-5353
6415 Peters Creek Rd
Roanoke, VA 24019
Phone (703) 562-2110
Interoperability endpoints
- kallen153771@direct.carilionclinic.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP60804361 | WA | |
| Family Nurse Practitioner | 363LF0000X | 0024180442 | VA | Yes |
Addresses
Primary practice location
981 Litton LN
Blacksburg, VA 24060-6340
Mailing address
213 S Jefferson St Ste 1006
Roanoke, VA 24011-1713
Phone (540) 224-5372
Other names
- Katie Jean Erichsen
Other providers in Blacksburg, VA
- Patty Jean Albert
- Austin Alderman
- Amanat Ali
- Nyaz Ali
- Fiona Allen
- Mohannad Alsughair
- Kelsey Jo Alt
- Alternatives Center, Inc.
- Altitude Iop, LLC
- Catherine Hamilton Altizer
All providers in Blacksburg, VA · Family Nurse Practitioner in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 9, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.