Individual provider Active NPI

Kristen Lee Allen, RN, PNP

  • Pediatric Nurse Practitioner
  • Syosset, NY
National Provider Identifier
1528255288
Registry record updated Sep 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
5770094 Issued in NY
Practice address
596 Jericho Tpke
Syosset, NY 11791-4522
Phone
(516) 677-5437
Fax
(516) 282-0999
NPI assigned
Sep 26, 2007
Last updated
Sep 26, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 5770094 NY Primary

Addresses

Primary practice location

596 Jericho Tpke
Syosset, NY 11791-4522

Mailing address

596 Jericho Tpke
Syosset, NY 11791-4522
Phone (516) 677-5437

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
5770094NYMDPediatric Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: kristenallen@nslijmedgr.allscriptsdirect.net

NPI Registry JSON

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

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190764800000",
    "number": "1528255288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "596 JERICHO TPKE",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117914522",
            "telephone_number": "516-677-5437",
            "fax_number": "516-282-0999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "596 JERICHO TPKE",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117914522",
            "telephone_number": "516-677-5437",
            "fax_number": "516-282-0999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "KRISTEN",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "RN, PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-26",
        "last_updated": "2007-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NY",
            "license": "5770094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syosset, NY

Sources for this page

Verify at the official NPI Registry.