Corbin Lee Allred, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

9594970-4405 Issued in UT

Practice address

75 S 200 E
Provo, UT 84606-3146

Phone

(801) 375-2207

Fax

(801) 375-2307

NPI assigned

Oct 22, 2019

Last updated

Jan 3, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Enrolled in UT

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Clanton Enterprises, Series LLC

  dba Precision Medical Urgent Care and Family Practice

  • Medical Physician Assistant
  • Provo, UT
  • NPI 1023490091
  Medicare reassignment NPD
• Hofmann Arthritis Institute, PLLC

  • Orthopaedic Surgery Physician
  • Salt Lake City, UT
  • NPI 1215248612
  NPD (past)

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

{
    "created_epoch": "1571702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672704000000",
    "number": "1952944993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 S 200 E",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846063146",
            "telephone_number": "801-375-2207",
            "fax_number": "801-375-2307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 S 200 E",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846063146",
            "telephone_number": "801-375-2207",
            "fax_number": "801-375-2307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLRED",
        "first_name": "CORBIN",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-22",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "9594970-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyler Clyff Allen, DO
• Haley Allmendinger
• Amelia Ngahuia Allred
• Aspen Kay Allred
• Carl Dain Allred, MD
• Emily Allred, FNP-C
• Hailey Grace Allred, RN
• Jentrie Tessa Allred
• Jeremy Glade Allred, MD
• Tabatha Rose Allred, HSW

• Family Nurse Practitioner in Provo, UT
• Providers in Provo, UT by specialty
• Family Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.