NPIMap

Individual provider Active NPI

Keisha L Allen, PA-C

  • Physician Assistant
  • McDowell, KY
National Provider Identifier
1871843573
Registry record updated Nov 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA1744 Issued in KY
Practice address
9879 Kentucky Route 122
McDowell, KY 41647-6042
Phone
(606) 377-3427
Fax
(606) 377-3369
NPI assigned
Sep 11, 2012
Last updated
Nov 15, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA1744 KY Primary

Addresses

Primary practice location

9879 Kentucky Route 122
McDowell, KY 41647-6042

Mailing address

9879 Ky Route 122
MC Dowell, KY 41647-6026
Phone (606) 377-3427

Other identifiers 1

IdentifierTypeStateIssuer
7100267780MedicaidKY

Other names 1

  • Keisha L Johnson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130923000209 KY Practitioner - Physician Assistant 1052555661 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2662 King Kelly Coleman Hwy
Wayland, KY 41666
Phone (606) 358-4211

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Appalachian Regional Healthcare, Inc CurrentSince May 14, 2016 Accepting new patients
Primary Care Centers of Eastern Kentucky, LLC Current Accepting new patients
Primary Care Centers of Eastern Kentucky, LLC Current Accepting new patients
Primary Care Centers of Eastern Kentucky, LLC CurrentSince Aug 27, 2013 Accepting new patients
Arh Tug Valley Health Services, Inc. CurrentSince Dec 1, 2021 Accepting new patients
Appalachian Regional Healthcare, Inc Physician Assistant CurrentSince May 14, 2016 Accepting new patients
Arh Tug Valley Health Services, Inc. Physician Assistant CurrentSince Dec 1, 2021 Accepting new patients
Appalachian Regional Healthcare, Inc. Current Accepting new patients
Primary Care Centers of Eastern Kentucky, LLC CurrentSince Aug 27, 2013 Accepting new patients
Motivate Me Limited Liability Ompany Past Accepting new patients

Locations

101 Town and Country Ln
#100
Hazard, KY 41701
Phone (606) 439-1300

425 Hindman Byp
Hindman, KY 41822
Phone (606) 785-1300

21992 Main St
Hyden, KY 41749
Phone (606) 672-5200

713 Broadway St
Ste 103
Paintsville, KY 41240
Phone (606) 372-1400

5000 Ky Route 321
Ste 1001
Prestonsburg, KY 41653
Phone (606) 889-6390

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HCJFBA
  • Direct secure messaging: keishaallen@arh.medalliesdirect.net

Organizations & group practices 12

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.

Hospital & facility affiliations 2

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": "1347321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479168000000",
    "number": "1871843573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9879 KY ROUTE 122",
            "city": "MC DOWELL",
            "state": "KY",
            "postal_code": "416476026",
            "telephone_number": "606-377-3427",
            "fax_number": "606-377-3369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9879 KENTUCKY ROUTE 122",
            "city": "MCDOWELL",
            "state": "KY",
            "postal_code": "416476042",
            "telephone_number": "606-377-3427",
            "fax_number": "606-377-3369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "KEISHA",
        "middle_name": "L",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-11",
        "last_updated": "2016-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA1744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100267780",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KEISHA",
            "last_name": "JOHNSON",
            "middle_name": "L",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in McDowell, KY

Sources for this page

Verify at the official NPI Registry.