Individual provider Active NPI

Ashley R Allen, APRN-CNP

  • Primary Care Nurse Practitioner
  • Boise, ID
National Provider Identifier
1669842498
Registry record updated Jul 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
67008 Issued in ID
Practice address
500 W Fort St
Boise, ID 83702-4599
Phone
(208) 391-0787
Fax
(208) 502-2570
NPI assigned
Oct 6, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 103435 OK
Primary Care Nurse Practitioner 363LP2300X 67008 ID Primary

Addresses

Primary practice location

500 W Fort St
Boise, ID 83702-4599

Mailing address

12148 Luftburrow LN
Hudson, FL 34669-5005
Phone (580) 478-9601

Other names 1

  • Ashley Allen Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.doximity.com/pub/ashley-allen-np

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20151113000349 OK Practitioner - Nurse Practitioner 4082924584 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
103435OKMDFamily Nurse Practitioner
67008IDMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Integris Ambulatory Care Corporation CurrentSince Nov 15, 2015 Accepting new patients

Locations

401 S 3rd St
Enid, OK 73701
Phone (580) 548-1112

600 S Monroe St
Enid, OK 73701
Phone (580) 233-2300

5300 N Independence Ave
Ste 280
Oklahoma City, OK 73112
Phone (405) 552-0155

3400 NW Expressway
Ste 500
Oklahoma City, OK 73112
Phone (405) 945-4589

Organizations & group practices 1

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": "1444089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626998400000",
    "number": "1669842498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12148 LUFTBURROW LN",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346695005",
            "telephone_number": "580-478-9601",
            "fax_number": "208-502-2570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W FORT ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837024599",
            "telephone_number": "208-391-0787",
            "fax_number": "208-502-2570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "ASHLEY",
        "middle_name": "R",
        "credential": "APRN-CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-06",
        "last_updated": "2021-07-23",
        "certification_date": "2021-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "103435",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "ID",
            "license": "67008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.doximity.com/pub/ashley-allen-np",
            "affiliation": "N",
            "address_1": "12148 Luftburrow Ln",
            "city": "Hudson",
            "state": "FL",
            "country_code": "US",
            "postal_code": "346695005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "ALLEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.