Individual provider Active NPI

Barrett Michael Allen, FNP-C

  • Family Nurse Practitioner
  • Pueblo, CO
National Provider Identifier
1407547193
Registry record updated May 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
C-RXN.0100425-C-NP Issued in CO
Practice address
314 West 16TH Street
Pueblo, CO 81003
Phone
(719) 544-5600
NPI assigned
May 15, 2023
Last updated
May 15, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X C-RXN.0100425-C-NP CO Primary

Addresses

Primary practice location

314 West 16TH Street
Pueblo, CO 81003

Mailing address

814 Tenderfoot Hill Road Apt 202
Colorado Springs, CO 80906
Phone (713) 377-8177

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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

Enrollment IDStateProvider typePAC IDDetails
I20230728000387 CO Practitioner - Nurse Practitioner 8022479773 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
C-RXN.0100425-C-NPCOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Adult Medicine Specialists PC Single Specialty CurrentSince Aug 2, 2023 Accepting new patients
Family Medicine Specialists, Inc Single Specialty CurrentSince Apr 1, 2026 Accepting new patients
Jandyco, LLC Single Specialty Past Accepting new patients

Locations

1225 N Grand Ave
Pueblo, CO 81003
Phone (719) 544-5600

1225 N Grand Ave
Ste 100
Pueblo, CO 81003
Phone (719) 544-5600

314 W 16th St
Pueblo, CO 81003
Phone (719) 546-3511

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1684108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684108800000",
    "number": "1407547193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 TENDERFOOT HILL ROAD APT 202",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80906",
            "telephone_number": "713-377-8177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 WEST 16TH STREET",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "81003",
            "telephone_number": "719-544-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "BARRETT",
        "middle_name": "MICHAEL",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-05-15",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "C-RXN.0100425-C-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

Verify at the official NPI Registry.