Active NPI
Jakob Richard Allen, MS
- Specialist
- Austin, TX
National Provider Identifier
1679110233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Practice address
- 3724 Executive Center Dr
Austin, TX 78731-1646 - Phone
- (512) 324-9270
- NPI assigned
- Dec 3, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | TX | Primary |
Addresses
Primary practice location
3724 Executive Center Dr
Austin, TX 78731-1646
Mailing address
3724 Executive Center Dr
Austin, TX 78731-1646
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| RESTful URL | AthenaHealth | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
Interoperability endpoints
- jakob.allen.1@8363.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1575331200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575331200000",
"number": "1679110233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3724 EXECUTIVE CENTER DR",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787311646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3724 EXECUTIVE CENTER DR",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787311646",
"telephone_number": "512-324-9270"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEN",
"first_name": "JAKOB",
"middle_name": "RICHARD",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-12-03",
"last_updated": "2019-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TX",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "REST",
"endpointTypeDescription": "RESTful URL",
"endpoint": "AthenaHealth",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "3724 Executive Center Dr",
"city": "Austin",
"state": "TX",
"country_code": "US",
"postal_code": "787311646",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.