Active NPI
Sara Hilton Allen, CRNP
- Nurse Practitioner
- Dothan, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 1-141993
- Practice address
- 4370 W Main St
Dothan, AL 36305-1056 - Phone
- (334) 793-5000
- NPI assigned
- Jun 21, 2017
- Last updated
- Jun 21, 2017
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 1-141993 | AL | Primary |
Addresses
Primary practice location
4370 W Main St
Dothan, AL 36305-1056
Mailing address
409 N Union Ave
Ozark, AL 36360-1422
Phone (334) 447-8975
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 Professional LN
Enterprise, AL 36330-2085
Phone (334) 347-3404
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-141993 | AL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Houston County Healthcare Authority | Current | Accepting new patients | |
| Southern Alabama Physicians LLP | Current | Accepting new patients | |
| Houston County Healthcare Authority | Nurse Practitioner | Current | Accepting new patients |
| Houston County Healthcare Authority | Current | Accepting new patients | |
| Southern Alabama Physicians,LLP | Current | Accepting new patients | |
| App of Alabama Ed PLLC | Current | Accepting new patients | |
| Bonnie J Dungan MD LLC | Current | Accepting new patients |
Locations
102 Doctors Dr
Dothan, AL 36301
Phone (334) 793-8804
1108 Ross Clark Cir
Dothan, AL 36301
Phone (334) 712-3635
1736 E Main St
Dothan, AL 36301
Phone (334) 712-6333
4370 W Main St
Dothan, AL 36305
Phone (256) 332-1611
101 Professional Ln
Enterprise, AL 36330
Phone (334) 347-3404
400 N Edwards St
Enterprise, AL 36330
Phone (334) 347-0584
75 Remit Dr
Chicago, IL 60675
Interoperability endpoints
- sallen12297@southeasthealth.direct-ci.com
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Samc-Enterprise Medical Clinic
- Internal Medicine Physician
- Enterprise, AL
- NPI 1619026606
-
- Emergency Medicine Physician
- Russellville, AL
- NPI 1659646040
-
- Rehabilitation Hospital Unit
- Dothan, AL
- NPI 1699369199
-
- Emergency Medicine Physician
- Dothan, AL
- NPI 1467701490
-
dba SAMC- Profee Billing
- Internal Medicine Physician
- Dothan, AL
- NPI 1285783134
-
dba Southeast Alabama Medical Center Medical Clinics
- Internal Medicine Physician
- Dothan, AL
- NPI 1538597349
Nurse Practitioner
-
- Emergency Medicine Physician
- Enterprise, AL
- NPI 1649696378
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Southeast Alabama Medical Center
- General Acute Care Hospital
- Dothan, AL
- NPI 1164403861
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1498003200000",
"number": "1154841187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "409 N UNION AVE",
"city": "OZARK",
"state": "AL",
"postal_code": "363601422",
"telephone_number": "334-447-8975"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4370 W MAIN ST",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363051056",
"telephone_number": "334-793-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEN",
"first_name": "SARA",
"middle_name": "HILTON",
"credential": "CRNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-06-21",
"last_updated": "2017-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AL",
"license": "1-141993",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dothan, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.