Sara Hilton Allen, CRNP
Individual provider Active NPI Nurse Practitioner · Dothan, AL
NPI 1154841187 · NPPES record last updated Jun 21, 2017
Key facts
- NPI
- 1154841187
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 1-141993 (AL)
- Practice address
- 4370 W Main St
Dothan, AL 36305-1056 - Phone
- (334) 793-5000
- NPI assigned
- Jun 21, 2017
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 10
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Houston County Healthcare Authority
Practice addresses (Care Compare)
101 Professional LN
Enterprise, AL 36330-2085
Phone (334) 347-3404
Hospital & facility affiliations
- Southeast Health Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
- 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 |
|---|---|---|---|---|
| I20170923000035 | AL | Practitioner - Nurse Practitioner | 3678847050 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- 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 | |
| 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 |
| App of Alabama Ed PLLC | Current |
Accepting new patients | |
| Southern Alabama Physicians LLP | Current |
Accepting new patients | |
| Bonnie J Dungan MD LLC | Current |
Accepting new patients | |
| Southeast Alabama Medical Center Employee Pharmacy | Past | 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
400 N Edwards St
Enterprise, AL 36330
Phone (334) 347-0584
101 Professional Ln
Enterprise, AL 36330
Phone (334) 347-3404
75 Remit Dr
Chicago, IL 60675
Interoperability endpoints
- sallen12297@southeasthealth.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 1-141993 | AL | Yes |
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
Other providers in Dothan, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 21, 2017. 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.