Active NPI
Nicole Allen
- Pulmonary Rehabilitation Certified Respiratory Therapist
- Chesapeake, VA
National Provider Identifier
1376201236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Rehabilitation Certified Respiratory Therapist
- License
- P4
- Practice address
- 1506 Stillwood St
Chesapeake, VA 23320-0626 - Phone
- (757) 560-3916
- NPI assigned
- Dec 7, 2021
- 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 |
|---|---|---|---|---|
| Pulmonary Rehabilitation Certified Respiratory Therapist | 2278P1005X | P4 | VA | Primary |
Addresses
Primary practice location
1506 Stillwood St
Chesapeake, VA 23320-0626
Mailing address
1506 Stillwood St
Chesapeake, VA 23320-0626
Phone (757) 560-3916
Other names 1
- Nicole Owens
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 |
|---|---|---|---|
| P4 | VA | MD | Pulmonary Rehabilitation Certified Respiratory Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638835200000",
"number": "1376201236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1506 STILLWOOD ST",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233200626",
"telephone_number": "757-560-3916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1506 STILLWOOD ST",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233200626",
"telephone_number": "757-560-3916"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEN",
"first_name": "NICOLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-12-07",
"last_updated": "2021-12-07",
"certification_date": "2021-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "2278P1005X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Certified, Pulmonary Rehabilitation",
"state": "VA",
"license": "P4",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NICOLE",
"last_name": "OWENS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Chesapeake, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.