Individual provider Active NPI

Krista M Allen, MD

  • Pediatrics Physician
  • Coal Grove, OH
National Provider Identifier
1649615337
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
35.139519 Issued in OH
Practice address
205 Marion Pike
Coal Grove, OH 45638-3165
Phone
(740) 532-1188
Fax
(740) 532-1183
NPI assigned
May 8, 2013
Last updated
Sep 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 49135 KY
Student in an Organized Health Care Education/Training Program 390200000X
Pediatrics Physician 208000000X 35.139519 OH Primary

Addresses

Primary practice location

205 Marion Pike
Coal Grove, OH 45638-3165

Mailing address

2585 3Rd Ave
Huntington, WV 25703-1642
Phone (304) 697-1396

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, WV2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200619000597 OH Practitioner - Pediatric Medicine 2961644109 Reassigns benefits to 1 organization
I20201228001015 WV Practitioner - Pediatric Medicine 2961644109 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
49135KYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Health Systems Inc Current Accepting new patients
Valley Health Systems Inc Pediatrics CurrentSince Dec 2, 2020 Accepting new patients
Valley Health Systems Inc Current Accepting new patients
Valley Health Systems Inc Current Accepting new patients
Valley Health Systems, Inc. CurrentSince Jul 6, 2020 Accepting new patients
Valley Health Systems Inc Pediatrics CurrentSince Jul 6, 2020 Accepting new patients
Valley Health Systems, Inc. Pediatrics CurrentSince Dec 2, 2020 Accepting new patients
Valley Health Systems Inc Pediatrics CurrentSince Dec 2, 2020 Accepting new patients
Valley Health Systems Inc Current Accepting new patients
Cabell Huntington Hospital Inc Past Accepting new patients
Valley Health Systems Inc Past Accepting new patients

Locations

205 Marion Pike
Ironton, OH 45638
Phone (740) 532-1188

5897 County Road 107
Proctorville, OH 45669
Phone (304) 399-2222

2585 3rd Ave
Huntington, WV 25703
Phone (304) 697-1396

723 9th Ave
Huntington, WV 25701
Phone (304) 529-0645

111 Great Teays Blvd
Scott Depot, WV 25560
Phone (304) 757-1907

Interoperability endpoints

  • Direct secure messaging: kallen20219@valleyhealthsystems.direct-ci.com

Organizations & group practices 11

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

NPI Registry JSON

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

{
    "created_epoch": "1367971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1649615337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2585 3RD AVE",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257031642",
            "telephone_number": "304-697-1396",
            "fax_number": "304-697-2086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 MARION PIKE",
            "city": "COAL GROVE",
            "state": "OH",
            "postal_code": "456383165",
            "telephone_number": "740-532-1188",
            "fax_number": "740-532-1183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "KRISTA",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-08",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "49135",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35.139519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coal Grove, OH

Sources for this page

Verify at the official NPI Registry.