NPIMap

Individual provider Active NPI

Nathan Kent Allen, D.O.

  • Family Medicine Physician
  • Twin Falls, ID
National Provider Identifier
1881908366
Registry record updated Oct 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
O-0737 Issued in ID
Practice address
2550 Addison Ave E
Suite B
Twin Falls, ID 83301-6749
Phone
(208) 814-7700
Fax
(208) 933-9301
NPI assigned
Jul 27, 2010
Sex
Male
Sole proprietor
No

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 and National Provider Directory roles.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Lukes Clinic LLC 313 clinicians

Practice addresses (Care Compare)

2550 Addison Ave E
Twin Falls, ID 83301-6748

746 N College Rd
Twin Falls, ID 83301-3486

775 Pole Line Rd W
Twin Falls, ID 83301-5819

Hospital & facility affiliations

  • Visions Home Health & Visions Home Care LLC Home health agency, Twin Falls, ID, CCN 137107
  • Idaho Home Health & Hospice Home health agency, Twin Falls, ID, CCN 137014
  • Idaho Home Health & Hospice Hospice, Twin Falls, ID, CCN 131501
  • Heart 'N Home Hospice Hospice, Lewiston, ID, CCN 131528
  • St Lukes Magic Valley Medical Center Hospital, Twin Falls, ID, CCN 130002
  • Cassia Regional Hospital Hospital, Burley, ID, CCN 131326
  • St Luke'S Regional Medical Center Hospital, Boise, ID, CCN 130006
  • St Luke'S Jerome Hospital, Jerome, ID, CCN 131310

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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
I20130911000085 ID Practitioner - Family Practice 1355585449 Reassigns benefits to 1 organization

All facility ownership & control disclosures 1

Medicare enrollment files

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Idaho Home Health & HospiceTwin Falls, ID, CCN 131501 Hospice Contracted Managing Employee Mar 1, 2024

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
O-0737IDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke'S Clinic LLC Family Medicine CurrentSince Aug 1, 2013 Accepting new patients
St Luke'S Magic Valley Regional Medical Center LTD Past Accepting new patients

Locations

190 E Bannock St
Boise, ID 83712
Phone (208) 381-2378

674 Eastland Dr
Twin Falls, ID 83301
Phone (208) 543-6401

2550 Addison Ave E
Ste B
Twin Falls, ID 83301
Phone (208) 514-2505

2550 Addison Ave E
Ste F
Twin Falls, ID 83301
Phone (208) 814-7700

746 N College Rd
Ste D
Twin Falls, ID 83301
Phone (208) 814-7230

2550 Addison Ave E
Twin Falls, ID 83301
Phone (208) 814-1500

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X O-0737 ID Primary

Addresses

NPPES NPI Registry

Primary practice location

2550 Addison Ave E
Suite B
Twin Falls, ID 83301-6749

Mailing address

PO Box 587
Twin Falls, ID 83303-0587
Phone (208) 814-7400

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
1881908366MedicaidID

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 4, 2013.

{
    "created_epoch": "1280188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380844800000",
    "number": "1881908366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 587",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833030587",
            "telephone_number": "208-814-7400",
            "fax_number": "208-814-7496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 ADDISON AVE E",
            "address_2": "SUITE B",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833016749",
            "telephone_number": "208-814-7700",
            "fax_number": "208-933-9301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "NATHAN",
        "middle_name": "KENT",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-27",
        "last_updated": "2013-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "O-0737",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1881908366",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Twin Falls, ID

Sources for this page

Verify at the official NPI Registry.