Active NPI
Peggy A Allen, ARNP
- Chronically Ill Psychiatric/Mental Health Clinical Nurse Specialist
- Bellingham, WA
National Provider Identifier
1447229653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chronically Ill Psychiatric/Mental Health Clinical Nurse Specialist
- License
- AP30002509
- Practice address
- 3645 E McLeod Rd
Bellingham, WA 98226-8700 - Phone
- (360) 676-2220
- Fax
- (360) 676-7750
- NPI assigned
- Mar 17, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chronically Ill Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0811X | AP30002509 | WA | Primary |
Addresses
Primary practice location
3645 E McLeod Rd
Bellingham, WA 98226-8700
Mailing address
3232 Cottonwood Ave
Bellingham, WA 98225-1221
Phone (360) 734-0504
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9615139 | Medicaid | WA | |
| 1130AL | Other | WA | REGENCE BLUE SHIELD |
| 8928924 | Other | WA | DEPARTMENT OF L&I |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP30002509 | WA | MD | Chronically Ill Psychiatric/Mental Health Clinical Nurse Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321833600000",
"number": "1447229653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3232 COTTONWOOD AVE",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982251221",
"telephone_number": "360-734-0504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3645 E MCLEOD RD",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982268700",
"telephone_number": "360-676-2220",
"fax_number": "360-676-7750"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEN",
"first_name": "PEGGY",
"middle_name": "A",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-17",
"last_updated": "2011-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "364SP0811X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Chronically Ill",
"state": "WA",
"license": "AP30002509",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9615139",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUE SHIELD",
"identifier": "1130AL",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPARTMENT OF L&I",
"identifier": "8928924",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bellingham, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.