Individual provider Active NPI

David W Allen, NP

  • Nurse Practitioner
  • Hixson, TN
National Provider Identifier
1770526709
Registry record updated Dec 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APN0000007287 Issued in TN
Practice address
4490 Hixson Pike
Hixson, TN 37343-5038
Phone
(423) 875-0700
Fax
(423) 875-3391
NPI assigned
Jun 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2018

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 APN0000007287 TN Primary

Addresses

Primary practice location

4490 Hixson Pike
Hixson, TN 37343-5038

Mailing address

30 Burton Hills Blvd
Ste 175
Nashville, TN 37215-6403
Phone (615) 988-2014

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111212000208 TN Practitioner - Nurse Practitioner 5890960348 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Healthforce Medical Group LLCGroup PAC ID 0143572594, 4 clinicians

Practice addresses (Care Compare)

5000 Alpha LN
Hixson, TN 37343-4054
Phone (423) 870-1662

Hospital & facility affiliations

  • Amedisys Home Health Chattanooga Home health agency, Chattanooga, TN, CCN 447156
  • Commonspirit Health at Home - Chattanooga Home health agency, Chattanooga, TN, CCN 447506
  • Memorial Healthcare System, Inc Hospital, Chattanooga, TN, CCN 440091

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APN0000007287TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthforce Medical Group LLC CurrentSince May 1, 2019 Accepting new patients
Healthforce Corporation Past Accepting new patients

Locations

5000 Alpha Ln
Hixson, TN 37343
Phone (423) 499-5655

5000 Alpha Ln
Ste B
Hixson, TN 37343

Organizations & group practices 2

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546214400000",
    "number": "1770526709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 BURTON HILLS BLVD",
            "address_2": "STE 175",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372156403",
            "telephone_number": "615-988-2014",
            "fax_number": "615-208-1303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4490 HIXSON PIKE",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373435038",
            "telephone_number": "423-875-0700",
            "fax_number": "423-875-3391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "DAVID",
        "middle_name": "W",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2018-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "APN0000007287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hixson, TN

Sources for this page

Verify at the official NPI Registry.