Active NPI
Annie J Allen, LAC
- Acupuncturist
- Salmon, ID
National Provider Identifier
1215135017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 26
- Practice address
- 111 Lillian Street
Suite 211
Salmon, ID 83467 - Phone
- (208) 756-6655
- NPI assigned
- Jul 3, 2007
- Last updated
- Jul 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 26 | ID | Primary |
Addresses
Primary practice location
111 Lillian Street
Suite 211
Salmon, ID 83467
Mailing address
PO Box 16
Carmen, ID 83462
Phone (208) 756-2188
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 |
|---|---|---|---|
| 26 | ID | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1215135017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 16",
"city": "CARMEN",
"state": "ID",
"postal_code": "83462",
"telephone_number": "208-756-2188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 LILLIAN STREET",
"address_2": "SUITE 211",
"city": "SALMON",
"state": "ID",
"postal_code": "83467",
"telephone_number": "208-756-6655"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEN",
"first_name": "ANNIE",
"middle_name": "J",
"credential": "LAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "ID",
"license": "26",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salmon, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.