Individual provider Active NPI

Larry Steve Allen, FNP

  • Family Nurse Practitioner
  • Texarkana, TX
National Provider Identifier
1669714663
Registry record updated Mar 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
PENDED Issued in TX
Practice address
2101 Galleria Oaks Dr
Texarkana, TX 75503-4625
Phone
(903) 791-9120
Fax
(903) 791-9132
NPI assigned
Mar 18, 2013
Last updated
Mar 18, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2013

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 PENDED TX Primary

Addresses

Primary practice location

2101 Galleria Oaks Dr
Texarkana, TX 75503-4625

Mailing address

2101 Galleria Oaks Dr
Texarkana, TX 75503-4625
Phone (903) 791-9120

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130716000213 TX Practitioner - Nurse Practitioner 4082854047 Reassigns benefits to 1 organization
I20251013003049 AR Practitioner - Nurse Practitioner 4082854047 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Family Medical Group of TexarkanaGroup PAC ID 3870485626, 12 clinicians

Practice addresses (Care Compare)

2101 Galleria Oaks Dr
Texarkana, TX 75503-4625
Phone (903) 791-9120

701 Arkansas Blvd
Texarkana, AR 71854-2105
Phone (870) 772-5028

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PENDEDTXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Riverview Behavioral Health, LLC CurrentSince Aug 2, 2025 Accepting new patients
Riverview Behavioral Health, LLC Current Accepting new patients
Family Medical Group of Texarkana CurrentSince Jun 11, 2013 Accepting new patients

Locations

701 Arkansas Blvd
Texarkana, AR 71854
Phone (870) 772-5028

2101 Galleria Oaks Dr
Texarkana, TX 75503
Phone (903) 791-9120

5212 W 7th St
Wake Village, TX 75501
Phone (903) 791-9120

Interoperability endpoints

  • Direct secure messaging: larryallen@fmgt.allscriptsdirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1363564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363564800000",
    "number": "1669714663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 GALLERIA OAKS DR",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755034625",
            "telephone_number": "903-791-9120",
            "fax_number": "903-791-9132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 GALLERIA OAKS DR",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755034625",
            "telephone_number": "903-791-9120",
            "fax_number": "903-791-9132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "LARRY",
        "middle_name": "STEVE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-18",
        "last_updated": "2013-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "PENDED",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Texarkana, TX

Sources for this page

Verify at the official NPI Registry.