Active NPI
Allie M Hall, PA
- Physician Assistant
- Glen Allen, VA
National Provider Identifier
1760819288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0110004981
- Practice address
- 4900 Cox Rd
Ste 150
Glen Allen, VA 23060-6507 - Phone
- (804) 346-1780
- Fax
- (804) 346-1781
- NPI assigned
- Sep 29, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1983 | SC | |
| Physician Assistant | 363A00000X | 0110004981 | VA | Primary |
Addresses
Primary practice location
4900 Cox Rd
Ste 150
Glen Allen, VA 23060-6507
Mailing address
4900 Cox Rd
Ste 150
Glen Allen, VA 23060-6507
Phone (804) 346-1780
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01302511 | Other | SC | RR MEDICARE |
| 1728PA | Medicaid | SC |
Other names 1
- Allie L Hall
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1983 | SC | MD | Pediatric Occupational Therapist |
| 0110004981 | VA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1517184000000",
"number": "1760819288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4900 COX RD",
"address_2": "STE 150",
"city": "GLEN ALLEN",
"state": "VA",
"postal_code": "230606507",
"telephone_number": "804-346-1780",
"fax_number": "804-346-1781"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4900 COX RD",
"address_2": "STE 150",
"city": "GLEN ALLEN",
"state": "VA",
"postal_code": "230606507",
"telephone_number": "804-346-1780",
"fax_number": "804-346-1781"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALL",
"first_name": "ALLIE",
"middle_name": "M",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-29",
"last_updated": "2018-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "SC",
"license": "1983",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "VA",
"license": "0110004981",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P01302511",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1728PA",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ALLIE",
"last_name": "HALL",
"middle_name": "L",
"credential": "PA",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Glen Allen, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.