Individual provider Active NPI

Christina Mae Allen, RN

  • Registered Nurse
  • Caldwell, OH
National Provider Identifier
1437434719
Registry record updated Oct 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN.372355 Issued in OH
Practice address
43 Kennedy Dr
Caldwell, OH 43724-9004
Phone
(740) 732-5211
Fax
(740) 732-4175
NPI assigned
Oct 18, 2011
Last updated
Oct 18, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN.372355 OH Primary

Addresses

Primary practice location

43 Kennedy Dr
Caldwell, OH 43724-9004

Mailing address

43 Kennedy Dr
Caldwell, OH 43724-9004
Phone (740) 732-5211

Other identifiers 1

IdentifierTypeStateIssuer
0136187MedicaidOH

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN.372355OHMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
TLC Complete Home Care, Inc. Past Accepting new patients
TLC Home Health Care, Inc. Past Accepting new patients

Organizations & group practices 2

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": "1318896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318896000000",
    "number": "1437434719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 KENNEDY DR",
            "city": "CALDWELL",
            "state": "OH",
            "postal_code": "437249004",
            "telephone_number": "740-732-5211",
            "fax_number": "740-732-4175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 KENNEDY DR",
            "city": "CALDWELL",
            "state": "OH",
            "postal_code": "437249004",
            "telephone_number": "740-732-5211",
            "fax_number": "740-732-4175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "CHRISTINA",
        "middle_name": "MAE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-18",
        "last_updated": "2011-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.372355",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0136187",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Caldwell, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2011; 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.