Individual provider Active NPI

Taylor Elizabeth Cline Allen, APRN

  • Family Nurse Practitioner
  • Crofton, KY
National Provider Identifier
1619470010
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3011825 Issued in KY
Practice address
375 William Lile Rd
Crofton, KY 42217-8128
Phone
(270) 881-2476
NPI assigned
Mar 12, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3011825 KY Primary

Addresses

Primary practice location

375 William Lile Rd
Crofton, KY 42217-8128

Mailing address

375 William Lile Rd
Crofton, KY 42217-8128
Phone (270) 881-2476

Other identifiers 1

IdentifierTypeStateIssuer
3011825OtherKYAPRN LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20231121000550 KY Practitioner - Nurse Practitioner 3678921202 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trigg County Hospital, Inc 33 clinicians

Practice addresses (Care Compare)

214 Main St
Cadiz, KY 42211-9153
Phone (270) 522-0898

254 Main St
Cadiz, KY 42211-9153
Phone (270) 522-3215

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
3011825KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Trigg County Hospital, Inc CurrentSince Dec 1, 2023 Accepting new patients
Trigg County Hospital, Inc CurrentSince Dec 1, 2023 Accepting new patients

Locations

254 Main St
Cadiz, KY 42211
Phone (270) 522-3215

250 Main St
Ste B
Cadiz, KY 42211

214 Main St
Cadiz, KY 42211
Phone (270) 522-0898

Organizations & group practices 5

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": "1520812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1619470010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 WILLIAM LILE RD",
            "city": "CROFTON",
            "state": "KY",
            "postal_code": "422178128",
            "telephone_number": "270-881-2476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 WILLIAM LILE RD",
            "city": "CROFTON",
            "state": "KY",
            "postal_code": "422178128",
            "telephone_number": "270-881-2476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "TAYLOR",
        "middle_name": "ELIZABETH CLINE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-12",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3011825",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN LICENSE",
            "identifier": "3011825",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crofton, KY

Sources for this page

Verify at the official NPI Registry.