Active NPI
Angela Davis Allen, RN, ROS
- Laboratory Management Specialist/Technologist
- Snow Hill, NC
National Provider Identifier
1497966402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Laboratory Management Specialist/Technologist
- Practice address
- 227 Kingold Blvd Ste B
Snow Hill, NC 28580-1303 - Phone
- (252) 747-8181
- Fax
- (252) 747-8946
- NPI assigned
- May 24, 2007
- 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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 68319 | NC | |
| Community Health Registered Nurse | 163WC1500X | 68319 | NC | |
| Pediatric Registered Nurse | 163WP0200X | 68319 | NC | |
| Ambulatory Women's Health Care Registered Nurse | 163WW0101X | 68319 | NC | |
| Laboratory Management Specialist/Technologist | 246QL0900X | Primary | ||
| Phlebotomy Technician | 246RP1900X |
Addresses
Primary practice location
227 Kingold Blvd Ste B
Snow Hill, NC 28580-1303
Mailing address
16 Pauls Path Rd
La Grange, NC 28551-8381
Phone (252) 566-9644
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 68319 | Other | NC | RN LICENSE # |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 68319 | NC | MD | Pediatric Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1497966402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 PAULS PATH RD",
"city": "LA GRANGE",
"state": "NC",
"postal_code": "285518381",
"telephone_number": "252-566-9644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "227 KINGOLD BLVD STE B",
"city": "SNOW HILL",
"state": "NC",
"postal_code": "285801303",
"telephone_number": "252-747-8181",
"fax_number": "252-747-8946"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEN",
"first_name": "ANGELA",
"middle_name": "DAVIS",
"credential": "RN, ROS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-24",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NC",
"license": "68319",
"primary": false
},
{
"code": "163WC1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Community Health",
"state": "NC",
"license": "68319",
"primary": false
},
{
"code": "163WP0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Pediatrics",
"state": "NC",
"license": "68319",
"primary": false
},
{
"code": "163WW0101X",
"taxonomy_group": "",
"desc": "Registered Nurse, Women's Health Care, Ambulatory",
"state": "NC",
"license": "68319",
"primary": false
},
{
"code": "246QL0900X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Pathology, Laboratory Management",
"state": null,
"license": null,
"primary": true
},
{
"code": "246RP1900X",
"taxonomy_group": "",
"desc": "Technician, Pathology, Phlebotomy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN LICENSE #",
"identifier": "68319",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Snow Hill, 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.