Individual provider Active NPI

Vicki Jo Allen, M.D.

  • Obstetrics & Gynecology Physician
  • Flower Mound, TX
National Provider Identifier
1932195831
Registry record updated Sep 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
J8437 Issued in TX
Practice address
4001 Long Prairie Rd
Suite 150
Flower Mound, TX 75028-1565
Phone
(972) 420-1470
Fax
(972) 420-1465
NPI assigned
Sep 26, 2005
Last updated
Sep 11, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X J8437 TX Primary

Addresses

Primary practice location

4001 Long Prairie Rd
Suite 150
Flower Mound, TX 75028-1565

Mailing address

4001 Long Prairie Rd
Suite 150
Flower Mound, TX 75028-1525
Phone (972) 420-1470

Other identifiers 1

IdentifierTypeStateIssuer
047212801MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100803000268 TX Practitioner - Obstetrics/Gynecology 6406874395 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
J8437TXMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lewisville Obstetrics & Gynecology Associates. P.a. Obstetrics & Gynecology CurrentSince Aug 1, 1998 Accepting new patients
Lewisville Obstetrics & Gynecology Associates, PA CurrentSince Aug 1, 1998 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1127692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441929600000",
    "number": "1932195831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 LONG PRAIRIE RD",
            "address_2": "SUITE 150",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750281525",
            "telephone_number": "972-420-1470",
            "fax_number": "972-420-1465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 LONG PRAIRIE RD",
            "address_2": "SUITE 150",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750281565",
            "telephone_number": "972-420-1470",
            "fax_number": "972-420-1465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "VICKI",
        "middle_name": "JO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-26",
        "last_updated": "2015-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "J8437",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "047212801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flower Mound, TX

Sources for this page

Verify at the official NPI Registry.