Renetta Walters Allen, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APO4824 Issued in LA

Practice address

11312 Jefferson Hwy
River Ridge, LA 70123-1709

Phone

(504) 463-3002

NPI assigned

Dec 12, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

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 1

Specialty

Nurse Practitioner

Education

Louisiana State University School of Medicine in New Orleans, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jefferson Community Health Care Centers, IncGroup PAC ID 7911961115, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: renetta.allen.1@12324.direct.athenahealth.com

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.

• Jefferson Community Health Care Centers, Inc

  • Federally Qualified Health Center (FQHC)
  • Avondale, LA
  • NPI 1558419275
  Medicare reassignment Care Compare group NPD
• Jefferson Community Health Care Centers Inc

  • Federally Qualified Health Center (FQHC)
  • Marrero, LA
  • NPI 1891831376
  NPD
• Jefferson Community Health Care Centers, Inc

  • Federally Qualified Health Center (FQHC)
  • Marrero, LA
  • NPI 1215612742
  NPD
• Jefferson Community Health Care Centers Inc

  • Federally Qualified Health Center (FQHC)
  • Westwego, LA
  • NPI 1942985437
  NPD (past)
• Jefferson Community Health Care Centers, Inc

  • Federally Qualified Health Center (FQHC)
  • Marrero, LA
  • NPI 1295314318
  NPD (past)

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

{
    "created_epoch": "1134345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543881600000",
    "number": "1366427460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3641 LAKE TIMBERLANE DR",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700568310",
            "telephone_number": "504-940-7348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11312 JEFFERSON HWY",
            "city": "RIVER RIDGE",
            "state": "LA",
            "postal_code": "701231709",
            "telephone_number": "504-463-3002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "RENETTA",
        "middle_name": "WALTERS",
        "name_prefix": "Dr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-12",
        "last_updated": "2018-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "APO4824",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1453129",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robin M Albert, PHARMD
• Gabriela Ordoyne Alongi, PA
• George Robert Alvey Jr., LPC
• George James Andrews, LPC
• Hailee Athman, LAT, ATC
• Joy Banks

• Family Nurse Practitioner in River Ridge, LA
• Providers in River Ridge, LA by specialty
• Family Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.