Active NPI
Keith W Collins-Allen, RN
- Registered Nurse
- West Seneca, NY
National Provider Identifier
1184731416
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 262553
- Practice address
- 548B Birchwood SQ Apt 10
West Seneca, NY 14224-2192 - Phone
- (347) 547-6635
- Fax
- (775) 254-5677
- NPI assigned
- Aug 24, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 14
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Administrator Registered Nurse | 163WA2000X | 262553 | NY | |
| Case Management Registered Nurse | 163WC0400X | 262553 | NY | |
| Community Health Registered Nurse | 163WC1500X | 262553 | NY | |
| Continuing Education/Staff Development Registered Nurse | 163WC1600X | 262553 | NY | |
| General Practice Registered Nurse | 163WG0000X | 262553 | NY | |
| Gerontology Registered Nurse | 163WG0600X | 262553 | NY | |
| Home Health Registered Nurse | 163WH0200X | 262553 | NY | |
| Hospice Registered Nurse | 163WH1000X | 262553 | NY | |
| Infusion Therapy Registered Nurse | 163WI0500X | 262553 | NY | |
| Infection Control Registered Nurse | 163WI0600X | 262553 | NY | |
| Pain Management Registered Nurse | 163WP0000X | 262553 | NY | |
| Adult Psychiatric/Mental Health Registered Nurse | 163WP0809X | 262553 | NY | |
| Ambulatory Care Registered Nurse | 163WP2201X | 262553 | NY | |
| Registered Nurse | 163W00000X | 262553 | NY | Primary |
Addresses
Primary practice location
548B Birchwood SQ Apt 10
West Seneca, NY 14224-2192
Mailing address
548B Birchwood SQ Apt 10
West Seneca, NY 14224-2192
Phone (347) 547-6635
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00969993 | Medicaid | NY |
Other names 1
- Keith W Allen
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 262553 | NY | MD | Neuroradiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581033600000",
"number": "1184731416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "548B BIRCHWOOD SQ APT 10",
"city": "WEST SENECA",
"state": "NY",
"postal_code": "142242192",
"telephone_number": "347-547-6635",
"fax_number": "775-254-5677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "548B BIRCHWOOD SQ APT 10",
"city": "WEST SENECA",
"state": "NY",
"postal_code": "142242192",
"telephone_number": "347-547-6635",
"fax_number": "775-254-5677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLINS-ALLEN",
"first_name": "KEITH",
"middle_name": "W",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-24",
"last_updated": "2020-02-07",
"certification_date": "2020-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "163WA2000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Administrator",
"state": "NY",
"license": "262553",
"primary": false
},
{
"code": "163WC0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Case Management",
"state": "NY",
"license": "262553",
"primary": false
},
{
"code": "163WC1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Community Health",
"state": "NY",
"license": "262553",
"primary": false
},
{
"code": "163WC1600X",
"taxonomy_group": "",
"desc": "Registered Nurse, Continuing Education/Staff Development",
"state": "NY",
"license": "262553",
"primary": false
},
{
"code": "163WG0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, General Practice",
"state": "NY",
"license": "262553",
"primary": false
},
{
"code": "163WG0600X",
"taxonomy_group": "",
"desc": "Registered Nurse, Gerontology",
"state": "NY",
"license": "262553",
"primary": false
},
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "NY",
"license": "262553",
"primary": false
},
{
"code": "163WH1000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Hospice",
"state": "NY",
"license": "262553",
"primary": false
},
{
"code": "163WI0500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Infusion Therapy",
"state": "NY",
"license": "262553",
"primary": false
},
{
"code": "163WI0600X",
"taxonomy_group": "",
"desc": "Registered Nurse, Infection Control",
"state": "NY",
"license": "262553",
"primary": false
},
{
"code": "163WP0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Pain Management",
"state": "NY",
"license": "262553",
"primary": false
},
{
"code": "163WP0809X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
"state": "NY",
"license": "262553",
"primary": false
},
{
"code": "163WP2201X",
"taxonomy_group": "",
"desc": "Registered Nurse, Ambulatory Care",
"state": "NY",
"license": "262553",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "262553",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00969993",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KEITH",
"last_name": "ALLEN",
"middle_name": "W",
"credential": "RN,",
"code": "1",
"type": "Former Name"
}
]
}Other providers in West Seneca, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.