Active NPI
Jennifer Renee Allen, BSW LPN
- Licensed Practical Nurse
- Tampa, FL
National Provider Identifier
1164518510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- PN 5182298
- Practice address
- 5707 N 22ND Street
Tampa, FL 33610 - Phone
- (813) 272-2878
- Fax
- (813) 272-3766
- NPI assigned
- Oct 5, 2006
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | |||
| Licensed Practical Nurse | 164W00000X | PN 5182298 | FL | Primary |
Addresses
Primary practice location
5707 N 22ND Street
Tampa, FL 33610
Mailing address
5707 N 22ND Street
Mental Health Care Inc
Tampa, FL 33610
Phone (813) 272-2878
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 766972100 | Medicaid | FL |
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 |
|---|---|---|---|
| PN 5182298 | FL | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1286928000000",
"number": "1164518510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5707 N 22ND STREET",
"address_2": "MENTAL HEALTH CARE INC",
"city": "TAMPA",
"state": "FL",
"postal_code": "33610",
"telephone_number": "813-272-2878",
"fax_number": "813-272-3766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5707 N 22ND STREET",
"city": "TAMPA",
"state": "FL",
"postal_code": "33610",
"telephone_number": "813-272-2878",
"fax_number": "813-272-3766"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEN",
"first_name": "JENNIFER",
"middle_name": "RENEE",
"credential": "BSW LPN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-05",
"last_updated": "2010-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "FL",
"license": "PN 5182298",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "766972100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.