Edward Timothy Allen

Primary specialty

Registered Nurse First AssistantTaxonomy code 163WR0006X

License

084580 Issued in MO

Practice address

405 Savannah Ridge Dr
Saint Charles, MO 63303-2918

Phone

(636) 244-0704

Fax

(636) 244-0704

NPI assigned

Nov 28, 2011

Last updated

Nov 28, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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.

• St. Louis First Assistants,LLC

  • Registered Nurse First Assistant
  • Saint Charles, MO
  • NPI 1871640540
  NPD (past)

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

{
    "created_epoch": "1322438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322438400000",
    "number": "1457628935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 SAVANNAH RIDGE DR",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633032918",
            "telephone_number": "636-244-0704",
            "fax_number": "636-244-0704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 SAVANNAH RIDGE DR",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633032918",
            "telephone_number": "636-244-0704",
            "fax_number": "636-244-0704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "EDWARD",
        "middle_name": "TIMOTHY",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-11-28",
        "last_updated": "2011-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "MO",
            "license": "084580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haseena Mazhar Ali, MD
• Alicia B Barishman
• Emma Rose Alkire, OTR/L
• All Generations Adult Day Center,LLC
• Allegiant Pathologists LLC
• Jacob Oliver Allen
• Jeffrey Frank Allen, PHARMD
• Michele C. Allen, NP
• Nicole M Allen, CRNA
• Robert Allen

• Registered Nurse First Assistant in Saint Charles, MO
• Providers in Saint Charles, MO by specialty
• Registered Nurse First Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 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.