Andrea McKinna Allen, MD
Individual provider Active NPI Hospice and Palliative Medicine (Family Medicine) Physician · North Little Rock, AR
NPI 1598727273 · NPPES record last updated Jan 15, 2015
Key facts
- NPI
- 1598727273
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X
- License
- E9016 (AR)
- Practice address
- 14 Parkstone Cir
North Little Rock, AR 72116-7086 - Phone
- (501) 748-3333
- NPI assigned
- Apr 6, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E9016 | AR | MD | Hospice and Palliative Medicine (Family Medicine) Physician |
| D35284 | MD | MD | Hospice and Palliative Medicine (Family Medicine) Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospice and Palliative Medicine (Family Medicine) Physician | 207QH0002X | D35284 | MD | |
| Hospice and Palliative Medicine (Family Medicine) Physician | 207QH0002X | E9016 | AR | Yes |
Addresses
Primary practice location
14 Parkstone Cir
North Little Rock, AR 72116-7086
Mailing address
14 Parkstone Cir
North Little Rock, AR 72116-7086
Phone (501) 748-3333
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 477431100 | Medicaid | MD |
Other providers in North Little Rock, AR
- William F. Alfonso
- Muhammad Ali
- Zachery Alissa
- Natheer Aljanabi
- Melissa K Allbright
- James Allen Jr.
- Jayson Allen
- Julia Allen
- Valerie Denise Allen
- Allied Therapy and Consulting Services, PA
All providers in North Little Rock, AR · Hospice and Palliative Medicine (Family Medicine) Physician in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 15, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.