Active NPI
Saree Allen, FNP
- Nurse Practitioner
- Elizabeth City, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 0024180668
- Practice address
- 135 E Rich Blvd
Elizabeth City, NC 27909-5518 - Phone
- (252) 333-1277
- Fax
- (252) 333-1877
- NPI assigned
- Oct 10, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Nurse Practitioner | 363L00000X | 0024180668 | VA | Primary |
Addresses
Primary practice location
135 E Rich Blvd
Elizabeth City, NC 27909-5518
Mailing address
135 E Rich Blvd
Elizabeth City, NC 27909-5518
Phone (252) 333-1277
Other practice location 1
12 Juniper Trl Ste 102
Kitty Hawk, NC 27949-3745
Phone (252) 715-1032
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210510000065 | NC | Practitioner - Nurse Practitioner | 5698184331 | Reassigns benefits to 3 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024180668 | VA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Universal Health Corporation | Current | Accepting new patients | |
| Comprehensive Rehabilitation & Pain Specialists, P.C. | Current | Accepting new patients | |
| Pai Participant 29, P.C. | Current | Accepting new patients | |
| DLP Western Carolina Physician Practices LLC | Nurse Practitioner | Past | Accepting new patients |
Locations
1987 Hilton Rd
Burlington, NC 27217
Phone (336) 226-0848
135 E Rich Blvd
Elizabeth Cty, NC 27909
Phone (252) 333-1277
12 Juniper Trl
Ste 102
Kitty Hawk, NC 27949
Phone (252) 715-1032
1287 Newsome St
Mount Airy, NC 27030
Phone (336) 786-2133
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 4
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.
-
- Physical Medicine & Rehabilitation Physician
- Elizabeth City, NC
- NPI 1578747077
NC
-
- Geriatric Medicine (Internal Medicine) Physician
- Lexington, NC
- NPI 1245813757
NC
-
- Internal Medicine Physician
- Sylva, NC
- NPI 1609281641
Nurse Practitioner
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 80.16 of 100
- Quality
- 63.91
- Improvement activities
- 40
- Cost
- 81.97
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636675200000",
"number": "1164020392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "135 E RICH BLVD",
"city": "ELIZABETH CITY",
"state": "NC",
"postal_code": "279095518",
"telephone_number": "252-333-1277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135 E RICH BLVD",
"city": "ELIZABETH CITY",
"state": "NC",
"postal_code": "279095518",
"telephone_number": "252-333-1277",
"fax_number": "252-333-1877"
}
],
"practiceLocations": [
{
"address_1": "12 Juniper Trl Ste 102",
"address_purpose": "LOCATION",
"city": "Kitty Hawk",
"state": "NC",
"postal_code": "279493745",
"country_code": "US",
"telephone_number": "252-715-1032",
"fax_number": "252-715-0700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALLEN",
"first_name": "SAREE",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-10",
"last_updated": "2021-11-12",
"certification_date": "2021-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "VA",
"license": "0024180668",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elizabeth City, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2021; 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.