Shirley B Allen

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Practice address

4110 Winfield CT
Rapid City, SD 57701-8306

Phone

(605) 415-0792

NPI assigned

Oct 4, 2017

Last updated

Jun 16, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1507075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1740790765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2734 EDEN LN",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577036036",
            "telephone_number": "605-415-0792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4110 WINFIELD CT",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577018306",
            "telephone_number": "605-415-0792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "SHIRLEY",
        "middle_name": "B",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-04",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPTPARTMENT OF TREASURY",
            "identifier": "82-2789782",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTH DAKOTA SECRETARY OF STATE",
            "identifier": "DL137092",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Cheryl Allen, DPT
• Michelle Allen
• Randy Allen, LCSW-PIP, QMHP
• Richard B Allen, M.D.
• Robert Glenn Allen Jr., M.D.
• Stephen D Allen, CRNA
• Allergy Clinic Prof LLC
• Tasha Rae Alley
• Allmer Vision Center, PC (Eye Care Associates)
• Derek M Allmer, O.D.

• Developmentally Disabled Services Day Training Agency in Rapid City, SD
• Providers in Rapid City, SD by specialty
• Developmentally Disabled Services Day Training Agency in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.