Mary Justine Parrott-Allen

Primary specialty

Prosthetics Case ManagementTaxonomy code 1744P3200X

License

216378 Issued in KY

Practice address

1320 E Broadway St Ste a
Campbellsville, KY 42718-1596

Phone

(270) 849-7207

Fax

(270) 465-0575

NPI assigned

Aug 26, 2008

Last updated

Aug 25, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1219708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629849600000",
    "number": "1376790998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 E BROADWAY ST STE A",
            "city": "CAMPBELLSVILLE",
            "state": "KY",
            "postal_code": "427181596",
            "telephone_number": "270-849-7207",
            "fax_number": "270-592-0402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 E BROADWAY ST STE A",
            "city": "CAMPBELLSVILLE",
            "state": "KY",
            "postal_code": "427181596",
            "telephone_number": "270-849-7207",
            "fax_number": "270-465-0575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARROTT-ALLEN",
        "first_name": "MARY",
        "middle_name": "JUSTINE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-26",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "KY",
            "license": "216378",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS BLUE SHIELD",
            "identifier": "0000000578817",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Prosthetics Case Management in Campbellsville, KY
• Providers in Campbellsville, KY by specialty
• Prosthetics Case Management in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.