Individual provider Active NPI

Nicholas Andrew Allen, DNP, ARNP, FNP-BC

  • Nurse Practitioner
  • Seattle, WA
National Provider Identifier
1619345295
Registry record updated Apr 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP60663487 Issued in WA
Practice address
9213B Ashworth Ave N
Seattle, WA 98103-3501
Phone
(206) 427-7321
NPI assigned
Sep 13, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP60663487 WA Primary

Addresses

Primary practice location

9213B Ashworth Ave N
Seattle, WA 98103-3501

Mailing address

3425 Ensign Rd NE
Ste 220
Olympia, WA 98506-5063
Phone (360) 493-4001

Other practice location 1

3525 Ensign Rd NE Ste F
Olympia, WA 98506-5065
Phone (360) 493-4001

Other identifiers 1

IdentifierTypeStateIssuer
RN60300150OtherWAWASHING STATE BOARD OF NURSING

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nallen548789@wm.providencedirect.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160929002500 WA Practitioner - Nurse Practitioner 4486941747 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AP60663487WAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System Nurse Practitioner CurrentSince Sep 14, 2020 Accepting new patients
Multicare Health System Current Accepting new patients
Multicare Health System CurrentSince Sep 14, 2020 Accepting new patients

Locations

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

311 S L St
Tacoma, WA 98405
Phone (253) 403-1444

Interoperability endpoints

  • Direct secure messaging: nallen548789@wm.providencedirect.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1442102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617580800000",
    "number": "1619345295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3425 ENSIGN RD NE",
            "address_2": "STE 220",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065063",
            "telephone_number": "360-493-4001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9213B ASHWORTH AVE N",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981033501",
            "telephone_number": "206-427-7321"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3525 Ensign Rd NE Ste F",
            "address_purpose": "LOCATION",
            "city": "Olympia",
            "state": "WA",
            "postal_code": "985065065",
            "country_code": "US",
            "telephone_number": "360-493-4001",
            "fax_number": "360-438-2026",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "NICHOLAS",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "DNP, ARNP, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-09-13",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP60663487",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WASHING STATE BOARD OF NURSING",
            "identifier": "RN60300150",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nallen548789@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3525 Ensign Rd NE Ste F",
            "city": "Olympia",
            "state": "WA",
            "country_code": "US",
            "postal_code": "985065065",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.