Everett Douglas Allen

Primary specialty

Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X

License

G54881 Issued in CA

Practice address

2413 2ND St
Eureka, CA 95501-0811

Phone

(707) 269-9590

Fax

(707) 444-8012

NPI assigned

Feb 11, 2019

Last updated

Feb 11, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Waterfront Recovery Services

  • Substance Abuse Rehabilitation Facility
  • Eureka, CA
  • NPI 1417307125
  NPD (past)

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

{
    "created_epoch": "1549843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549843200000",
    "number": "1437615879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 98",
            "city": "CRESCENT CITY",
            "state": "CA",
            "postal_code": "955310098",
            "telephone_number": "707-464-7863",
            "fax_number": "707-465-6284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2413 2ND ST",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955010811",
            "telephone_number": "707-269-9590",
            "fax_number": "707-444-8012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "EVERETT",
        "middle_name": "DOUGLAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-11",
        "last_updated": "2019-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "CA",
            "license": "G54881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kirt Larry Alexander
• Angelo John Alfano, FNP
• Erik Alfkin
• Allen S Mathew MD (Redwood Renal Associates)
• Everett Allen, PA-C
• Katherine D Allen, MSW, IFECMH
• Kim Ann Allen
• Leslie Ann Allen
• Susan Nowell Allen, RN PHN
• Alliance Healthcare Services Inc

• Addiction Medicine (Internal Medicine) Physician in Eureka, CA
• Providers in Eureka, CA by specialty
• Addiction Medicine (Internal Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2019; 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.