Individual provider Active NPI

Allyn Denley Flautt

  • Family Nurse Practitioner
  • Oxford, MS
National Provider Identifier
1790678274
Registry record updated Sep 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
907756 Issued in MS
Practice address
1626 Highway 30 E
Oxford, MS 38655-2319
Phone
(662) 371-1326
NPI assigned
Jun 2, 2025
Last updated
Sep 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 907756 MS Primary
Student in an Organized Health Care Education/Training Program 390200000X NU
Registered Nurse 163W00000X 924656 MS

Addresses

Primary practice location

1626 Highway 30 E
Oxford, MS 38655-2319

Mailing address

101 Hathorn Rd Apt 3
Oxford, MS 38655-4209
Phone (662) 614-5709

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20260113003498 MS Practitioner - Nurse Practitioner 1658857214 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Vanderbilt University School of Medicine, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology Associates of Oxford LLCGroup PAC ID 7810237153, 5 clinicians

Practice addresses (Care Compare)

1626 Hwy 30 E
Oxford, MS 38655-2319
Phone (662) 371-1326

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
924656MSMDRegistered Nurse
907756MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Associates of Oxford, LLC CurrentSince Dec 10, 2025 Accepting new patients
Lyndsay R Shipp MD PLLC Past Accepting new patients

Locations

1626 Highway 30 E
Oxford, MS 38655
Phone (662) 371-1326

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1748822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758153600000",
    "number": "1790678274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 HATHORN RD APT 3",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386554209",
            "telephone_number": "662-614-5709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1626 HIGHWAY 30 E",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386552319",
            "telephone_number": "662-371-1326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLAUTT",
        "first_name": "ALLYN",
        "middle_name": "DENLEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-02",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "907756",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MS",
            "license": "924656",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, MS

Sources for this page

Verify at the official NPI Registry.