Individual provider Active NPI

Sarah Tucker Allen, P.A.

  • Physician Assistant
  • Bossier City, LA
National Provider Identifier
1295088656
Registry record updated Apr 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
4670 Issued in TN
Practice address
2449 Hospital Dr Ste 420
Bossier City, LA 71111
Phone
(318) 212-7839
Fax
(318) 212-7837
NPI assigned
Oct 23, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X TX
Physician Assistant 363A00000X PA.200557 LA
Physician Assistant 363A00000X 4670 TN Primary

Addresses

Primary practice location

2449 Hospital Dr Ste 420
Bossier City, LA 71111

Mailing address

3841 Green Hills Village Dr Ste 200
Nashville, TN 37215-2691
Phone (615) 936-2000

Other practice location 1

805 Lindsey Dr
Marshall, TX 75670
Phone (903) 938-1146

Other practice location 2

805 Lindsey Dr
Marshall, TX 75670
Phone (903) 938-1146

Other identifiers 1

IdentifierTypeStateIssuer
PA08043OtherTXTX LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.mettles.com/ Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, TN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190109002316 LA Practitioner - Physician Assistant 2769706365 Reassigns benefits to 1 organization
I20220310000729 TN Practitioner - Physician Assistant 2769706365 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vanderbilt Bedford Hospital LLC 12 clinicians

Practice addresses (Care Compare)

1401 Madison St
Shelbyville, TN 37160-3629
Phone (931) 685-2025

1612 N Main St
Shelbyville, TN 37160-2392

Hospital & facility affiliations

  • Vanderbilt Bedford Hospital Hospital, Shelbyville, TN, CCN 440137

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA.200557LAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Vanderbilt Integrated Providers, LLC CurrentSince Apr 1, 2022 Accepting new patients
Saint Thomas Medical Partners CurrentSince May 4, 2022 Accepting new patients
Vanderbilt Integrated Providers, LLC CurrentSince Apr 1, 2022 Accepting new patients
Vanderbilt Bedford Hospital, LLC CurrentSince Apr 26, 2025 Accepting new patients
WK Bossier Pulmonary & Critical Care Clinic PastSince Jul 1, 2007 Accepting new patients
Medical & Surgical Clinic of Irving, P.a. Past Accepting new patients

Locations

1400 Willow Dr
Manchester, TN 37355
Phone (931) 409-2194

3841 Green Hills Village Dr
Ste 200
Nashville, TN 37215
Phone (615) 322-6842

300 20th Ave N
Fl 9
Nashville, TN 37203

1612 N Main St
Ste B
Shelbyville, TN 37160
Phone (931) 685-2022

1401 Madison St
Shelbyville, TN 37160
Phone (931) 294-8464

1612 N Main St
Ste A
Shelbyville, TN 37160
Phone (931) 680-8910

Interoperability endpoints

  • Direct secure messaging: sallen708477@direct.vumc.org

Organizations & group practices 13

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

View all 13

Hospital & facility affiliations 1

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": "1350950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649376000000",
    "number": "1295088656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3841 GREEN HILLS VILLAGE DR STE 200",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372152691",
            "telephone_number": "615-936-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2449 HOSPITAL DR STE 420",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "71111",
            "telephone_number": "318-212-7839",
            "fax_number": "318-212-7837"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "805 Lindsey Dr",
            "address_purpose": "LOCATION",
            "city": "Marshall",
            "state": "TX",
            "postal_code": "75670",
            "country_code": "US",
            "telephone_number": "903-938-1146",
            "fax_number": "903-927-2434",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "805 Lindsey Dr",
            "address_purpose": "LOCATION",
            "city": "Marshall",
            "state": "TX",
            "postal_code": "75670",
            "country_code": "US",
            "telephone_number": "903-938-1146",
            "fax_number": "903-927-2434",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "SARAH",
        "middle_name": "TUCKER",
        "name_prefix": "Mrs.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-23",
        "last_updated": "2022-04-08",
        "certification_date": "2022-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "LA",
            "license": "PA.200557",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "4670",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX LICENSE",
            "identifier": "PA08043",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.mettles.com/",
            "affiliation": "N",
            "endpointDescription": "2.16.840.1.113883.3.6037.1",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "10320 Little Patuxent Pkwy Ste 233-02",
            "city": "Columbia",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210443313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bossier City, LA

Sources for this page

Verify at the official NPI Registry.