Active NPI
Debra Allen, ANP GNP
- Nurse Practitioner
- Wentworth, NC
National Provider Identifier
1487735866
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 60050
- Practice address
- 371 NC Hwy 65
Ste 204
Wentworth, NC 27375 - Phone
- (336) 342-8140
- Fax
- (336) 342-8218
- NPI assigned
- Oct 18, 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 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 60050 | NC | |
| Adult Health Nurse Practitioner | 363LA2200X | 60050 | NC | |
| Gerontology Nurse Practitioner | 363LG0600X | 60050 | NC | |
| Nurse Practitioner | 363L00000X | 60050 | NC | Primary |
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | 60050 | NC | |
| Women's Health Nurse Practitioner | 363LW0102X | 60050 | NC | |
| Pediatric Nurse Practitioner | 363LP0200X | 60050 | NC | |
| Primary Care Nurse Practitioner | 363LP2300X | 60050 | NC |
Addresses
Primary practice location
371 NC Hwy 65
Ste 204
Wentworth, NC 27375
Mailing address
PO Box 204
Wentworth, NC 27375-0204
Phone (336) 342-8140
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 60050 | Other | NC | LICENSE |
| 75174 | Other | NC | CERT NU |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60050 | NC | MD | Obstetrics & Gynecology Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1487735866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 204",
"city": "WENTWORTH",
"state": "NC",
"postal_code": "273750204",
"telephone_number": "336-342-8140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "371 NC HWY 65",
"address_2": "STE 204",
"city": "WENTWORTH",
"state": "NC",
"postal_code": "27375",
"telephone_number": "336-342-8140",
"fax_number": "336-342-8218"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEN",
"first_name": "DEBRA",
"credential": "ANP GNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-18",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "60050",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NC",
"license": "60050",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "NC",
"license": "60050",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "60050",
"primary": true
},
{
"code": "363LX0001X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "NC",
"license": "60050",
"primary": false
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "NC",
"license": "60050",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "NC",
"license": "60050",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "NC",
"license": "60050",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "60050",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CERT NU",
"identifier": "75174",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wentworth, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.