Cecil Linwood Allen

Primary specialty

DriverTaxonomy code 172A00000X

License

A62904660 Issued in VA

Practice address

9430 Charles City Village Dr
Providence Forge, VA 23140-2833

Phone

(908) 294-8080

NPI assigned

Feb 10, 2020

Last updated

Feb 10, 2020By 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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1581292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581292800000",
    "number": "1598397374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9430 CHARLES CITY VILLAGE DR",
            "city": "PROVIDENCE FORGE",
            "state": "VA",
            "postal_code": "231402833",
            "telephone_number": "908-294-8080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9430 CHARLES CITY VILLAGE DR",
            "city": "PROVIDENCE FORGE",
            "state": "VA",
            "postal_code": "231402833",
            "telephone_number": "908-294-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "CECIL",
        "middle_name": "LINWOOD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-02-10",
        "last_updated": "2020-02-10",
        "certification_date": "2020-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "VA",
            "license": "A62904660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "N/A",
            "affiliation": "N",
            "endpointDescription": "N/A",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9430 Charles City Village Dr",
            "city": "Providence Forge",
            "state": "VA",
            "country_code": "US",
            "postal_code": "231402833",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Abdi Home Care Inc.
• Athletic Edge Physical Therapy PLLC
• Janice V. Atwell, LCSW
• Clarice U. Baugh, RN
• Bay Rivers Nutrition, LLC
• Ankita Bhanderi, PHARM.D

• Driver in Providence Forge, VA
• Providers in Providence Forge, VA by specialty
• Driver in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2020; 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.