Organization Active NPI

Mobile Allergy and Urgent Care LLC

  • Allergy Physician
  • Nicholasville, KY
National Provider Identifier
1841821659
Registry record updated Jan 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
Legal business name
MOBILE ALLERGY AND URGENT CARE LLC
Practice address
3260 Lexington Rd
Nicholasville, KY 40356-9798
Phone
(720) 771-4015
NPI assigned
Jan 30, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2021

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

Authorized official

Name
Daniel Long
Title
Aprn
Phone
(720) 771-4015

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207KA0200X Primary

Addresses

Primary practice location

3260 Lexington Rd
Nicholasville, KY 40356-9798

Mailing address

3260 Lexington Rd
Nicholasville, KY 40356-9798

National Provider Directory

National Provider Directory

Locations

3260 Lexington Rd
Nicholasville, KY 40356
Phone (720) 771-4015

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1580342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610668800000",
    "number": "1841821659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3260 LEXINGTON RD",
            "city": "NICHOLASVILLE",
            "state": "KY",
            "postal_code": "403569798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3260 LEXINGTON RD",
            "city": "NICHOLASVILLE",
            "state": "KY",
            "postal_code": "403569798",
            "telephone_number": "720-771-4015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE ALLERGY AND URGENT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-30",
        "last_updated": "2021-01-15",
        "certification_date": "2021-01-15",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "APRN",
        "authorized_official_telephone_number": "720-771-4015"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology, Allergy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nicholasville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.