Active NPI
Kirk Emanuel Allen, L.V.N.
- Licensed Vocational Nurse
- Temple, TX
National Provider Identifier
1336307339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Vocational Nurse
- License
- 157542
- Practice address
- 2514 Bunker Hill Dr
Temple, TX 76504-2221 - Phone
- (254) 598-0141
- Fax
- (254) 598-0141
- NPI assigned
- May 27, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 157542 | TX | Primary |
Addresses
Primary practice location
2514 Bunker Hill Dr
Temple, TX 76504-2221
Mailing address
2514 Bunker Hill Dr
Temple, TX 76504-2221
Phone (254) 598-0141
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001002933 | Medicaid | TX |
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 |
|---|---|---|---|
| 157542 | TX | MD | Licensed Vocational Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211846400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211846400000",
"number": "1336307339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2514 BUNKER HILL DR",
"city": "TEMPLE",
"state": "TX",
"postal_code": "765042221",
"telephone_number": "254-598-0141",
"fax_number": "254-598-0141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2514 BUNKER HILL DR",
"city": "TEMPLE",
"state": "TX",
"postal_code": "765042221",
"telephone_number": "254-598-0141",
"fax_number": "254-598-0141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEN",
"first_name": "KIRK",
"middle_name": "EMANUEL",
"credential": "L.V.N.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-05-27",
"last_updated": "2008-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "164X00000X",
"taxonomy_group": "",
"desc": "Licensed Vocational Nurse",
"state": "TX",
"license": "157542",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001002933",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Temple, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.