Individual provider Active NPI

Mary Jo Allen

  • Nurse Practitioner
  • Round Rock, TX
National Provider Identifier
1679369169
Registry record updated Mar 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F03250549 Issued in TX
Practice address
409 W Liberty Ave
Round Rock, TX 78664-5127
Phone
(512) 524-3437
Fax
(512) 524-3437
NPI assigned
Apr 19, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X F03250549 TX Primary

Addresses

Primary practice location

409 W Liberty Ave
Round Rock, TX 78664-5127

Mailing address

409 W Liberty Ave
Round Rock, TX 78664-5127
Phone (512) 524-3437

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

State licenses

LicenseStateTypeSpecialty
F03250549TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Happy Health and Wellness of America PA LLC PastSince Jan 1, 2024 Accepting new patients

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": "1745020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772755200000",
    "number": "1679369169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 W LIBERTY AVE",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786645127",
            "telephone_number": "512-524-3437",
            "fax_number": "512-524-3437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 W LIBERTY AVE",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786645127",
            "telephone_number": "512-524-3437",
            "fax_number": "512-524-3437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "MARY JO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-19",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "F03250549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2026; 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.