Individual provider Active NPI

Nicole Allen

  • Pulmonary Rehabilitation Certified Respiratory Therapist
  • Chesapeake, VA
National Provider Identifier
1376201236
Registry record updated Dec 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Rehabilitation Certified Respiratory TherapistTaxonomy code 2278P1005X
License
P4 Issued in VA
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

Updated by the provider on Dec 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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

LicenseStateTypeSpecialty
P4VAMDPulmonary 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.

Verify at the official NPI Registry.