Lucky Kolleh Allen, CNA

Primary specialty

Nurse's AideTaxonomy code 376K00000X

License

68216 Issued in ND

Practice address

3272 9TH St W Apt F
West Fargo, ND 58078-7833

Phone

(701) 977-0860

NPI assigned

Jan 8, 2025

Last updated

Jan 8, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Divine Allen's Healthcare LLC

  • In Home Supportive Care Agency
  • West Fargo, ND
  • NPI 1336952209

  Nurse's Aide

  NPD Authorized official

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

{
    "created_epoch": "1736294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1891505228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3272 9TH ST W APT F",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "580787833",
            "telephone_number": "701-977-0860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3272 9TH ST W APT F",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "580787833",
            "telephone_number": "701-977-0860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "LUCKY",
        "middle_name": "KOLLEH",
        "credential": "CNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-01-08",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "ND",
            "license": "68216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Vanessa Ahmeti, APRN, CRNA
• Gloria Albert
• Peace Albert
• Sara Ann Bogardus Alferness
• Sheila Allen Klosterman, OTR/L
• Alliance Therapy, LLP
• Mariah Almklov
• Alt Medical Gear LLC
• Althoff Therapy Services PLLC
• Emily A. Althoff, L.A.C.

• Nurse's Aide in West Fargo, ND
• Providers in West Fargo, ND by specialty
• Nurse's Aide in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2025; 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.