Active NPI
Christy Allen
- Prosthetics Case Management
- Minneola, FL
National Provider Identifier
1154722502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetics Case Management
- License
- CL1178655
- Practice address
- 548 S US Highway 27 Ste a
Minneola, FL 34715-1903 - Phone
- (352) 250-8410
- NPI assigned
- Sep 4, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetics Case Management | 1744P3200X | CL1178655 | FL | Primary |
Addresses
Primary practice location
548 S US Highway 27 Ste a
Minneola, FL 34715-1903
Mailing address
11 Bay Ridge Loop
Mascotte, FL 34753-8832
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CL1178655 | FL | MD | Prosthetics Case Management |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409788800000",
"number": "1154722502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 BAY RIDGE LOOP",
"city": "MASCOTTE",
"state": "FL",
"postal_code": "347538832"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "548 S US HIGHWAY 27 STE A",
"city": "MINNEOLA",
"state": "FL",
"postal_code": "347151903",
"telephone_number": "352-250-8410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEN",
"first_name": "CHRISTY",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-09-04",
"last_updated": "2014-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "1744P3200X",
"taxonomy_group": "",
"desc": "Specialist, Prosthetics Case Management",
"state": "FL",
"license": "CL1178655",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minneola, FL
- Adventist Health System -Sunbelt Inc
- Adventist Health System/Sunbelt Inc
- Leonardo Byron Aguirresaenz
- Kristen Ahumada, PHARMD
- Aj19 Primary Care & Wellness Corp
- Ashley Beasley Allison, IMH
- Jennifer Culler Alsdorf, CCC-SLP
- Alt Nursing Services Inc
- Ama'L Speech Therapy Services Inc
- Brenda A Antoine-Ranson, ARNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.