Individual provider Active NPI

Benjamin B Allen, RN, BSN, CNOR, RNFA

  • Registered Nurse First Assistant
  • Tuscaloosa, AL
National Provider Identifier
1396596375
Registry record updated Mar 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Nurse First AssistantTaxonomy code 163WR0006X
License
1-131521 Issued in AL
Practice address
1847 Commons North Dr
Tuscaloosa, AL 35406-3700
Phone
(205) 349-0049
Fax
(659) 734-2003
NPI assigned
Mar 28, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse First Assistant 163WR0006X 1-131521 AL Primary

Addresses

Primary practice location

1847 Commons North Dr
Tuscaloosa, AL 35406-3700

Mailing address

7710 Bradley Rd
Duncanville, AL 35456-1908
Phone (205) 792-4443

Other practice location 1

701 Princeton Ave SW
Birmingham, AL 35211-1303
Phone (205) 783-3000

Other practice location 2

809 University Blvd E
Tuscaloosa, AL 35401-2071
Phone (205) 759-1111

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
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
1-131521ALMDRegistered Nurse First Assistant

NPI Registry JSON

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

{
    "created_epoch": "1711584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711584000000",
    "number": "1396596375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7710 BRADLEY RD",
            "city": "DUNCANVILLE",
            "state": "AL",
            "postal_code": "354561908",
            "telephone_number": "205-792-4443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1847 COMMONS NORTH DR",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354063700",
            "telephone_number": "205-349-0049",
            "fax_number": "659-734-2003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 Princeton Ave SW",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352111303",
            "country_code": "US",
            "telephone_number": "205-783-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "809 University Blvd E",
            "address_purpose": "LOCATION",
            "city": "Tuscaloosa",
            "state": "AL",
            "postal_code": "354012071",
            "country_code": "US",
            "telephone_number": "205-759-1111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "BENJAMIN",
        "middle_name": "B",
        "name_prefix": "Mr.",
        "credential": "RN, BSN, CNOR, RNFA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-03-28",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "AL",
            "license": "1-131521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; 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.