Active NPI
Courtney Allen
- Physician Assistant
- Alexandria, LA
National Provider Identifier
1619343548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 200875
- Practice address
- 3311 Prescott Rd
Suite 411
Alexandria, LA 71301-3900 - Phone
- (318) 448-5310
- NPI assigned
- Aug 14, 2015
- Last updated
- Sep 3, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 200875 | LA | Primary |
Addresses
Primary practice location
3311 Prescott Rd
Suite 411
Alexandria, LA 71301-3900
Mailing address
3311 Prescott Rd
Suite 411
Alexandria, LA 71301-3900
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)
- Enrolled
- Credentials
- Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441238400000",
"number": "1619343548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3311 PRESCOTT RD",
"address_2": "SUITE 411",
"city": "ALEXANDRIA",
"state": "LA",
"postal_code": "713013900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3311 PRESCOTT RD",
"address_2": "SUITE 411",
"city": "ALEXANDRIA",
"state": "LA",
"postal_code": "713013900",
"telephone_number": "318-448-5310"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEN",
"first_name": "COURTNEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-14",
"last_updated": "2015-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "LA",
"license": "200875",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alexandria, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.