Individual provider Active NPI

Saree Allen, FNP

  • Nurse Practitioner
  • Elizabeth City, NC
National Provider Identifier
1164020392
Registry record updated Nov 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0024180668 Issued in VA
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

Updated by the provider on Nov 12, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210510000065 NC Practitioner - Nurse Practitioner 5698184331 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0024180668VAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Universal Health Corporation CurrentSince Dec 3, 2024 Accepting new patients
Comprehensive Rehabilitation & Pain Specialists, P.C. CurrentSince Apr 5, 2021 Accepting new patients
Pai Participant 29, P.C. CurrentSince Dec 30, 2024 Accepting new patients
DLP Western Carolina Physician Practices LLC Nurse Practitioner PastSince Mar 28, 2021 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

  • FHIR API: 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.

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
80.16 of 100Reported as group
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

Verify at the official NPI Registry.