NPIMap

Individual provider Active NPI

Lindee P Allen, FNP

  • Family Nurse Practitioner
  • Brigham City, UT
National Provider Identifier
1194038489
Registry record updated Nov 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
279026-4405 Issued in UT
Practice address
600 W Hospital Rd
Brigham City, UT 84302-3006
Phone
(435) 734-2041
Fax
(435) 723-8028
NPI assigned
Jul 15, 2010
Last updated
Nov 19, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 279026-4405 UT Primary

Addresses

Primary practice location

600 W Hospital Rd
Brigham City, UT 84302-3006

Mailing address

PO Box 719
Brigham City, UT 84302-0719
Phone (435) 734-2041

Other identifiers 1

IdentifierTypeStateIssuer
1194038489MedicaidUT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100923000737 UT Practitioner - Nurse Practitioner 3072639343 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Brigham Medical Clinic, Inc.Group PAC ID 8628000809, 5 clinicians

Practice addresses (Care Compare)

600 W Hospital Rd
Brigham City, UT 84302-3006
Phone (435) 734-2041

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brigham Medical Clinic, Inc. CurrentSince Jan 27, 2014 Accepting new patients
Rocky Mountain Emergency Specialists LLC Past Accepting new patients

Locations

600 W Hospital Rd
Brigham City, UT 84302
Phone (435) 734-2041

Interoperability endpoints

  • Direct secure messaging: lindee.allen@999388869427204.direct.elationemr.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1279152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416355200000",
    "number": "1194038489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 719",
            "city": "BRIGHAM CITY",
            "state": "UT",
            "postal_code": "843020719",
            "telephone_number": "435-734-2041",
            "fax_number": "435-723-8028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W HOSPITAL RD",
            "city": "BRIGHAM CITY",
            "state": "UT",
            "postal_code": "843023006",
            "telephone_number": "435-734-2041",
            "fax_number": "435-723-8028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "LINDEE",
        "middle_name": "P",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-15",
        "last_updated": "2014-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "279026-4405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1194038489",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brigham City, UT

Sources for this page

Verify at the official NPI Registry.