Devord Jr. Allen, CHW

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

4309 Queen Ave N
Minneapolis, MN 55412-1105

Phone

(651) 316-4486

NPI assigned

Sep 24, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1727136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1619794211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7040 71ST AVE N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554281660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4309 QUEEN AVE N",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554121105",
            "telephone_number": "651-316-4486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "DEVORD",
        "middle_name": "JR.",
        "credential": "CHW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-24",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carissa L. Allen, APRN, CRNA
• Chad Timothy Allen, MA, LPC
• Charlet Ann Allen, RPH
• Christopher J Allen, APRN AGCNS CCRN CNRN
• Damon Noah Allen
• Elissa J Allen, LGSW
• Erica Bonham Allen, RN
• Jeffrey A Allen, M.D.
• Jonathan Allen
• Kari Ann Allen, RN, CRNA

• Community Health Worker in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Community Health Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.