Chanae Edwanna Allen

Primary specialty

Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X

Practice address

2211 Lake Club Dr
Columbus, OH 43232-3204

Phone

(614) 704-5224

NPI assigned

May 11, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1525996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1568952927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6833 SPRING BLOOM DR",
            "city": "CANAL WINCHESTER",
            "state": "OH",
            "postal_code": "431107803",
            "telephone_number": "614-981-3748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 LAKE CLUB DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432323204",
            "telephone_number": "614-704-5224"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6833 Spring Bloom Dr",
            "address_purpose": "LOCATION",
            "city": "Canal Winchester",
            "state": "OH",
            "postal_code": "431107803",
            "country_code": "US",
            "telephone_number": "614-981-3748",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "CHANAE",
        "middle_name": "EDWANNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-11",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Allen
• Anita Marie Allen
• Asha Marie Bhat Allen, PA-C
• Carmen Renae Allen
• Carole Allen
• Cherish Allen
• Christina Allen
• Christina Allen
• Conisa R. Allen, RN
• Crystal Denise Allen

• Physical Disabilities Residential Treatment Facility in Columbus, OH
• Providers in Columbus, OH by specialty
• Physical Disabilities Residential Treatment Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; 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.