NPIMap

Organization Active NPI

Allcare Clinical Associates PA

  • Certified Registered Nurse Anesthetist
  • Asheville, NC
National Provider Identifier
1437286291
Registry record updated Jul 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
ALLCARE CLINICAL ASSOCIATES PA
Practice address
34 Granby St
Asheville, NC 28801-4611
Phone
(866) 631-7890
NPI assigned
Feb 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2020

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

Authorized official

Name
Jennifer Boyd Baldock
Title
Officer and Authorized Official
Phone
(615) 234-5900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 367500000X Primary

Addresses

Primary practice location

34 Granby St
Asheville, NC 28801-4611

Mailing address

4919 Memorial Hwy Ste 200
Tampa, FL 33634-7500
Phone (866) 631-7890

Other practice location 1

34 Granby St
Asheville, NC 28801-4611
Phone (866) 631-7890

Other practice location 2

76 Peachtree Rd
Suite 300
Asheville, NC 28803
Phone (866) 631-7890

Other identifiers 1

IdentifierTypeStateIssuer
8000156MedicaidNC

Other names 1

  • CRNA Group Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL URL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031120000271 NC Part B Supplier - Clinic/Group Practice 1759285943 Receives reassigned benefits from 33 practitioners
Practice locations: Asheville, NC

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Allcare Clinical Assoc PA3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 40

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 40

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594080000000",
    "number": "1437286291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4919 MEMORIAL HWY STE 200",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336347500",
            "telephone_number": "866-631-7890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 GRANBY ST",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288014611",
            "telephone_number": "866-631-7890"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "34 Granby St",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288014611",
            "country_code": "US",
            "telephone_number": "866-631-7890",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "76 Peachtree Rd",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "28803",
            "country_code": "US",
            "telephone_number": "866-631-7890",
            "fax_number": "828-274-7407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ALLCARE CLINICAL ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2020-07-07",
        "certification_date": "2020-07-07",
        "status": "A",
        "authorized_official_last_name": "BALDOCK",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "BOYD",
        "authorized_official_title_or_position": "OFFICER AND AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "615-234-5900"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8000156",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "URL",
            "affiliation": "N",
            "address_1": "34 Granby St",
            "city": "Asheville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "288014611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "CRNA Group",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "CRNA Group",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Asheville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.