Active NPI
Lachele Schmeque Allen
- Licensed Practical Nurse
- Bellport, NY
National Provider Identifier
1619254638
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 279182-1
- Practice address
- 61 Beaver Dam Rd
Bellport, NY 11713-2125 - Phone
- (631) 803-6704
- NPI assigned
- Nov 4, 2011
- Sex
- Female
- Sole proprietor
- No
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 279182-1 | NY | MD | Emergency Medicine Physician |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 279182-1 | NY | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
61 Beaver Dam Rd
Bellport, NY 11713-2125
Mailing address
61 Beaver Dam Rd
Bellport, NY 11713-2125
Phone (631) 803-6704
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 4, 2011.
{
"created_epoch": "1320364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320364800000",
"number": "1619254638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "61 BEAVER DAM RD",
"city": "BELLPORT",
"state": "NY",
"postal_code": "117132125",
"telephone_number": "631-803-6704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "61 BEAVER DAM RD",
"city": "BELLPORT",
"state": "NY",
"postal_code": "117132125",
"telephone_number": "631-803-6704"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEN",
"first_name": "LACHELE",
"middle_name": "SCHMEQUE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-04",
"last_updated": "2011-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NY",
"license": "279182-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bellport, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.