Active NPI
Elizabeth D Allen, CNP
- Obstetrics & Gynecology Nurse Practitioner
- Proctorville, OH
National Provider Identifier
1770521635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Nurse Practitioner
- License
- APRN.CNP.07926
- Practice address
- 98 State St
Proctorville, OH 45669-8163 - Phone
- (554) 465-9378
- Fax
- (740) 446-5082
- NPI assigned
- Jun 3, 2006
- Last updated
- Nov 18, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | APRN.CNP.07926 | OH | Primary |
Addresses
Primary practice location
98 State St
Proctorville, OH 45669-8163
Mailing address
90 Jackson Pike
Gallipolis, OH 45631-1560
Phone (740) 446-5000
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0092846000 | Medicaid | WV | |
| 2177648 | Other | OH | MOLINA MEDICAID |
| 500011885 | Other | RR MEDICARE | |
| 2177648 | Medicaid | OH | |
| 000000312531 | Other | ANTHEM BCBS |
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)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN.CNP.07926 | OH | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605657600000",
"number": "1770521635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "90 JACKSON PIKE",
"city": "GALLIPOLIS",
"state": "OH",
"postal_code": "456311560",
"telephone_number": "740-446-5000",
"fax_number": "740-446-5082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "98 STATE ST",
"city": "PROCTORVILLE",
"state": "OH",
"postal_code": "456698163",
"telephone_number": "554-465-9378",
"fax_number": "740-446-5082"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEN",
"first_name": "ELIZABETH",
"middle_name": "D",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-03",
"last_updated": "2020-11-18",
"certification_date": "2020-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LX0001X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "OH",
"license": "APRN.CNP.07926",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0092846000",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MOLINA MEDICAID",
"identifier": "2177648",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "500011885",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2177648",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "000000312531",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Proctorville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.