Edgar Allen

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

30211626 Issued in FL

Practice address

1001 W Cypress Creek Rd Ste 306B
Fort Lauderdale, FL 33309-1950

Phone

(754) 223-3156

NPI assigned

Oct 23, 2026

Last updated

Oct 23, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 8

Addresses

Other identifiers 1

Other names 1

• Patricia Wisdom Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1792713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792713600000",
    "number": "1194622985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 W CYPRESS CREEK RD STE 306B",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333091950",
            "telephone_number": "754-223-3156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 W CYPRESS CREEK RD STE 306B",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333091950",
            "telephone_number": "754-223-3156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "EDGAR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-10-23",
        "last_updated": "2026-10-23",
        "certification_date": "2026-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "FL",
            "license": "30211626",
            "primary": true
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "FL",
            "license": "30211626",
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "FL",
            "license": "30211626",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "30211626",
            "primary": false
        },
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "FL",
            "license": "30211626",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "FL",
            "license": "30211626",
            "primary": false
        },
        {
            "code": "163WH1000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Hospice",
            "state": "FL",
            "license": "30211626",
            "primary": false
        },
        {
            "code": "163WR0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Rehabilitation",
            "state": "FL",
            "license": "30211626",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "454806934",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "WISDOM",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• All Medicare Home AIDS, Inc.
• All Star Medical Supply Inc.
• Alexandra Christina Allen
• Alisha N Allen, MD, BCBA
• Diamond Sada Allen
• Herman Allen, DDS
• Janice D Allen, LMHC
• Jessica Allen
• Lisa Allen
• Rebekah Allen, ARNP

• Home Health Aide in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Home Health Aide in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.