Active NPI
Linda Allen, CRNA
- Certified Registered Nurse Anesthetist
- Joplin, MO
National Provider Identifier
1235106550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 058814
- Practice address
- 2817 Saint Johns Blvd
Joplin, MO 64804-1563 - Phone
- (417) 781-2727
- Fax
- (417) 625-2279
- NPI assigned
- Mar 6, 2006
- Last updated
- Oct 9, 2012
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 058814 | MO | Primary |
Addresses
Primary practice location
2817 Saint Johns Blvd
Joplin, MO 64804-1563
Mailing address
2817 Saint Johns Blvd
Joplin, MO 64804-1563
Phone (417) 781-2727
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100787140B | Medicaid | OK | |
| 912800141 | Medicaid | MO | |
| 100251090C | Medicaid | KS | |
| P00816373 | Other | RAIL ROAD MEDICARE |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 058814 | MO | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Albaugh & Associates, LLC | Past | Accepting new patients | |
| St John's Regional Medical Center | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| St Johns Regional Medical Center | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Pain Medicine (Anesthesiology) Physician
- Springfield, MO
- NPI 1205159514
-
dba 21st Century Anesthesia
- Anesthesiology Physician
- Joplin, MO
- NPI 1700032653
Nurse Anesthetist, Certified Registered
-
dba 21st Century Anesthesia
- Anesthesiology Physician
- Joplin, MO
- NPI 1841240546
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141603200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349740800000",
"number": "1235106550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2817 SAINT JOHNS BLVD",
"city": "JOPLIN",
"state": "MO",
"postal_code": "648041563",
"telephone_number": "417-781-2727",
"fax_number": "417-625-2279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2817 SAINT JOHNS BLVD",
"city": "JOPLIN",
"state": "MO",
"postal_code": "648041563",
"telephone_number": "417-781-2727",
"fax_number": "417-625-2279"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEN",
"first_name": "LINDA",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-06",
"last_updated": "2012-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MO",
"license": "058814",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100787140B",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "912800141",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100251090C",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "P00816373",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Joplin, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.