Phyllene Allison

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

4703054140 Issued in MI

Practice address

1853 R W Berends Dr SW
Wyoming, MI 49519-4955

Phone

(616) 534-9300

NPI assigned

Oct 29, 2021

Last updated

Oct 29, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1635465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635465600000",
    "number": "1780348235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12014 VERONA RD",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490147908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1853 R W BERENDS DR SW",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495194955",
            "telephone_number": "616-534-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLISON",
        "first_name": "PHYLLENE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-29",
        "last_updated": "2021-10-29",
        "certification_date": "2021-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MI",
            "license": "4703054140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janan Abbas Alkilidar, MD
• Allen Surgical Care, PLLC
• Marcia Allen, RN
• Miranda Allen, D.O.
• Alliance Physician Services of Michigan, P.C. (Michigan Institute of Urology)
• Michael Alofs
• Mershed Alsamara, MD
• Terese Diane Alsum, AUD
• Kendell Rae Altena, COTA
• Jesse Ryan Alvarado, PHARMD, MBA

• Licensed Practical Nurse in Wyoming, MI
• Providers in Wyoming, MI by specialty
• Licensed Practical Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2021; 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.