Mary T Allen, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

3005543 Issued in KY

Practice address

9510 Ormsby Station Rd Ste 100
Louisville, KY 40223-4082

Phone

(502) 327-1000

Fax

(855) 632-8329

NPI assigned

Mar 19, 2008

Last updated

Sep 28, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in KY, TX, AZ, MI, CO, GA6 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 6

Specialty

Nurse Practitioner

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Villagemd of Southeast Texas PAGroup PAC ID 4587947346, 217 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mary.allen.1@13711.direct.athenahealth.com
• Direct secure messaging: mary.allen.1@21803.direct.athenahealth.com
• Direct secure messaging: mary.allen.2@21533.direct.athenahealth.com
• Direct secure messaging: mary.traci.allen.1@19654.direct.athenahealth.com

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.

• Villagemd of Southeast Texas, PA

  • Family Medicine Physician
  • Houston, TX
  • NPI 1841643327
  Medicare reassignment Care Compare group NPD
• VMD Primary Providers Central Kentucky

  • Internal Medicine Physician
  • Murray, KY
  • NPI 1831674654
  Medicare reassignment NPD
• Qcpi-Villagemd, PC

  dba Village Medical

  • Family Medicine Physician
  • Atlanta, GA
  • NPI 1558872432
  Medicare reassignment NPD
• Summit Medical Group Arizona LLC

  • Family Medicine Physician
  • Glendale, AZ
  • NPI 1053810622
  Medicare reassignment NPD
• VMD Primary Providers Colorado, Inc

  • Primary Care Clinic/Center
  • Fort Collins, CO
  • NPI 1275646614
  Medicare reassignment NPD
• VMD Primary Providers Eastern Michigan, PC

  • Family Medicine Physician
  • Novi, MI
  • NPI 1336625540
  Medicare reassignment NPD
• Primary Care Medical Center Inc

  • Family Medicine Physician
  • Murray, KY
  • NPI 1295716694
  NPD
• VMD Primary Providers Central Kentucky

  dba Village Medical

  • Rural Health Clinic/Center
  • Lebanon, KY
  • NPI 1063120194
  NPD
• Village Family Practice, L.L.P

  • Family Medicine Physician
  • Houston, TX
  • NPI 1083619191
  NPD
• Home Health of Jefferson Co, LLC

  dba Norton Home Health

  • Home Health Agency
  • Louisville, KY
  • NPI 1871940841
  NPD (past)
• Icats Management Integrated Care and Transition Services LLC

  dba ICATS Mangement

  • Internal Medicine Physician
  • Louisville, KY
  • NPI 1033559240
  NPD (past)

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

{
    "created_epoch": "1205884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538092800000",
    "number": "1912178781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9510 ORMSBY STATION RD STE 530",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402234081",
            "telephone_number": "502-327-1000",
            "fax_number": "855-632-8329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9510 ORMSBY STATION RD STE 100",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402234082",
            "telephone_number": "502-327-1000",
            "fax_number": "855-632-8329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "MARY",
        "middle_name": "T",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-19",
        "last_updated": "2018-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3005543",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12166430",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100150970",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeffrey W. Allen, MD
• Lesley Brooke Allen, PT, DPT
• Lindsey Allen
• Mary Allen
• Mary J Allen, DO
• Michele Allen, PTA
• Richard D Allen, MD
• Robert E Allen, MD
• Sarah C Allen, LCSW
• Steven Douglas Allen, CRNA

• Family Nurse Practitioner in Louisville, KY
• Providers in Louisville, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.