Individual provider Active NPI

Melody Van Allen, NP

  • Family Nurse Practitioner
  • Avenal, CA
National Provider Identifier
1972197622
Registry record updated Jul 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95014291 Issued in CA
Practice address
1000 Skyline Blvd
Avenal, CA 93204-1850
Phone
(559) 386-4500
NPI assigned
Feb 23, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2021

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 95014291 CA Primary

Addresses

Primary practice location

1000 Skyline Blvd
Avenal, CA 93204-1850

Mailing address

660 Cayucos St
Lemoore, CA 93245-2672
Phone (559) 589-4432

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20210617001225 CA Order and Referring Only - Nurse Practitioner 4284034976

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95014291CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aria Community Health Center Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: melody.vanallen.p1@direct.ariachc.nextgenshare.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1614038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625616000000",
    "number": "1972197622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 CAYUCOS ST",
            "city": "LEMOORE",
            "state": "CA",
            "postal_code": "932452672",
            "telephone_number": "559-589-4432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 SKYLINE BLVD",
            "city": "AVENAL",
            "state": "CA",
            "postal_code": "932041850",
            "telephone_number": "559-386-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN ALLEN",
        "first_name": "MELODY",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-23",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95014291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avenal, CA

Sources for this page

Verify at the official NPI Registry.