Individual provider Active NPI

Laura S Allen, APN

  • Nurse Practitioner
  • West Memphis, AR
National Provider Identifier
1831271493
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
12241 Issued in TN
Practice address
310 W Tyler Ave
West Memphis, AR 72301-4225
Phone
(870) 732-2398
Fax
(870) 732-3647
NPI assigned
Oct 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X A01097 AR
Nurse Practitioner 363L00000X 12241 TN Primary

Addresses

Primary practice location

310 W Tyler Ave
West Memphis, AR 72301-4225

Mailing address

PO Box 381974
Germantown, TN 38183-1974
Phone (901) 821-0338

Other practice location 1

902 Holiday Dr Ste 106
Forrest City, AR 72335-9117
Phone (901) 683-6925

Other practice location 2

6005 Park Ave Ste 500B
Memphis, TN 38119-5215
Phone (901) 683-6925

Other identifiers 1

IdentifierTypeStateIssuer
141394758MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20061204000282 AR Practitioner - Nurse Practitioner 5597764423 Reassigns benefits to 2 organizations
I20070207000588 TN Practitioner - Nurse Practitioner 5597764423 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saint Francis-Arkansas Physician Network, LLCGroup PAC ID 5496014607, 2 clinicians

Practice addresses (Care Compare)

902 Holiday Dr
Suite 106
Forrest City, AR 72335-9117
Phone (901) 683-6925

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.13 of 100Reported as group
Quality
72.63
Promoting interoperability
98
Improvement activities
40
Cost
90.7

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12241TNMDDentist
A01097ARMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Francis-Arkansas Physician Network, LLC CurrentSince Feb 5, 2018 Accepting new patients
Curana Health of Arkansas LLC Nurse Practitioner CurrentSince Aug 1, 2015 Accepting new patients
Saint Francis Physician Network, LLC CurrentSince Dec 20, 2019 Accepting new patients
Bennett L Rudorfer MD PA PastSince Jul 24, 2022 Accepting new patients
Adult and Adolescent Medicine Clinics PLLC Past Accepting new patients

Locations

609 SW 8th St
Fl 6
Bentonville, AR 72712
Phone (479) 349-2579

902 Holiday Dr
Ste 106
Forrest City, AR 72335
Phone (870) 494-3025

300 S Rhodes St
West Memphis, AR 72301
Phone (870) 400-0433

6005 Park Ave
Ste 500B
Memphis, TN 38119

6005 Park Ave
Ste 601
Memphis, TN 38119
Phone (901) 680-9205

Interoperability endpoints

  • Direct secure messaging: laura.allen.1@16700.direct.athenahealth.com

Organizations & group practices 5

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 3

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": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1831271493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 381974",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381831974",
            "telephone_number": "901-821-0338",
            "fax_number": "901-821-0341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 W TYLER AVE",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "723014225",
            "telephone_number": "870-732-2398",
            "fax_number": "870-732-3647"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "902 Holiday Dr Ste 106",
            "address_purpose": "LOCATION",
            "city": "Forrest City",
            "state": "AR",
            "postal_code": "723359117",
            "country_code": "US",
            "telephone_number": "901-683-6925",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6005 Park Ave Ste 500B",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381195215",
            "country_code": "US",
            "telephone_number": "901-683-6925",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "LAURA",
        "middle_name": "S",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-20",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AR",
            "license": "A01097",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "12241",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "141394758",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Memphis, AR

Sources for this page

Verify at the official NPI Registry.