Allen Primary Care Medicine

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

5858 Issued in TN

Legal business name

ALLEN PRIMARY CARE MEDICINE

Practice address

6010 Knight Arnold Road Ext
1
Memphis, TN 38115-3322

Phone

(901) 337-4554

NPI assigned

Aug 15, 2016

Last updated

Jan 13, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Deloris B Allen, NURSE PRACTITIONER

Title

Owner

Phone

(901) 337-4554

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1471219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484265600000",
    "number": "1194279505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6010 KNIGHT ARNOLD ROAD EXT STE 1",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381153322",
            "telephone_number": "901-337-4554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6010 KNIGHT ARNOLD ROAD EXT",
            "address_2": "1",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381153322",
            "telephone_number": "901-337-4554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLEN PRIMARY CARE MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-15",
        "last_updated": "2017-01-13",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "DELORIS",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-337-4554",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NURSE PRACTITIONER"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TN",
            "license": "5858",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "11842260",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• All Star Ambulance Service, Inc (All Star Ambulance)
• All Star Mobility & Medical, Inc.
• Katherine Federline Allan, M.D.
• Katie Norwood Allbritten, LCSW
• Allen Alternative Medical and Wellness Clinic
• Elizabeth Dawn Allen-Klemke, MSOTR/L
• Stephanie Lynn Allen-Winters, MD
• Amanda Allen, NP
• Amy Allen, OT
• Angelica Renee Allen

• Primary Care Clinic/Center in Memphis, TN
• Providers in Memphis, TN by specialty
• Primary Care Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.