Individual provider Active NPI

Cynthia Luczak Allen, FNP-BC

  • Family Nurse Practitioner
  • Columbia, MO
National Provider Identifier
1891866745
Registry record updated Feb 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
75176 Issued in MO
Practice address
Columbia College Health Services
1001 Rogers St.
Columbia, MO 65216-0001
Phone
(573) 875-7432
Fax
(573) 875-7235
NPI assigned
Nov 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 75176 MO Primary

Addresses

Primary practice location

Columbia College Health Services
1001 Rogers St.
Columbia, MO 65216-0001

Mailing address

Columbia College Health Services
1001 Rogers St.
Columbia, MO 65216-0001
Phone (573) 875-7432

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
75176MOMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264982400000",
    "number": "1891866745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "COLUMBIA COLLEGE HEALTH SERVICES",
            "address_2": "1001 ROGERS ST.",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652160001",
            "telephone_number": "573-875-7432",
            "fax_number": "573-875-7235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "COLUMBIA COLLEGE HEALTH SERVICES",
            "address_2": "1001 ROGERS ST.",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652160001",
            "telephone_number": "573-875-7432",
            "fax_number": "573-875-7235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "CYNTHIA",
        "middle_name": "LUCZAK",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-13",
        "last_updated": "2010-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "75176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2010; 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.