JACQUELINE ALLEN (NPI# 1730578121) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730578121 |
| Entity Type | Individual |
| Full Name | JACQUELINE ALLEN |
| Credential | APRN |
| Practice Address |
210 Black Gold Blvd Ste 106 Hazard KY 41701-2620 |
| Mailing Address |
Po Box 959 Hazard KY 41702-0959 |
| Practice Telephone | 6064360711 |
| Practice Fax Number | 6064351322 |
| Mailing Telephone | 6064360711 |
| Mailing Fax Number | 6064351322 |
| Enumeration Date | 2015-01-22 |
| Last Update Date | 2020-06-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
3009147 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
3009147 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | LICENSE | 3009147 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033683743 | Jacqueline Allen | Acupuncturist | 518 Harrison Ave, Leadville, CO 80461-3558 | 2019-01-15 |
| 1700811692 | Jacqueline Savannah Allen | Dentist | 6520 N 7th Ave, Suite 7, Phoenix, AZ 85013-1173 | 2006-07-11 |
| 1295791655 | Jacqueline Allen | Social Worker | 1029 Monarch St, Suite 240, Lexington, KY 40513-1874 | 2006-04-25 |
| 1275146532 | Jacqueline Renee' Allen | Counselor | 14300 N Northsight Blvd Ste 109, Scottsdale, AZ 85260-3673 | 2020-08-26 |
| 1194230912 | Jacqueline Christine Allen | Counselor | 10046 S Western Ave, Chicago, IL 60643-1926 | 2017-12-04 |
| 1194239962 | Jacqueline Allen | Specialist/Technologist, Other | 2025 Richmond Ave, Staten Island, NY 10314-3937 | 2017-11-30 |
| 1205359940 | Jacqueline Kay Allen | Midwife | 2817 Reilly St, Fort Bragg, NC 28310-7324 | 2017-07-25 |
| 1376902700 | Jacqueline E. Allen | Psychologist | 950 Lee St, Suite 202, Des Plaines, IL 60016-6532 | 2016-02-12 |
| 1619315736 | Jacqueline S Allen | Psychologist | 4881 Sugar Maple Dr, Wpafb, OH 45433-5529 | 2013-06-11 |
| 1275979965 | Jacqueline Michelle Allen | Family Medicine | 1401 S Grand Ave, Los Angeles, CA 90015-3010 | 2013-05-21 |
| Street Address |
210 BLACK GOLD BLVD STE 106 |
| City | HAZARD |
| State | KY |
| Zip Code | 41701-2620 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760484216 | Darian Ratliff | Internal Medicine | 210 Black Gold Blvd, Ste 106, Hazard, KY 41701-2620 | 2005-08-15 |
| 1326593575 | Kelli Jones | Pharmacist | 210 Black Gold Blvd, Suite 104, Hazard, KY 41701-2620 | 2016-08-17 |
| 1922478676 | Justin Barnes | Physical Therapist | 210 Black Gold Blvd, Hazard, KY 41701-2620 | 2015-10-06 |
| 1215306600 | Ashlei Beverly | Nurse Practitioner | 210 Black Gold Blvd, Ste 106, Hazard, KY 41701-2620 | 2015-09-16 |
| 1891178851 | Jacqueline Combs | Nurse Practitioner | 210 Black Gold Blvd, Ste 106, Hazard, KY 41701-2620 | 2015-07-08 |
| 1215331160 | Ashley A Taylor | Nurse Practitioner | 210 Black Gold Blvd, Ste 106, Hazard, KY 41701-2620 | 2014-10-21 |
| 1134520901 | Kristi Hall | Nurse Practitioner | 210 Black Gold Blvd, Ste 106, Hazard, KY 41701-2620 | 2014-09-11 |
| 1942617667 | Sue Carol Riddle | Nurse Practitioner | 210 Black Gold Blvd, Hazard, KY 41701-2620 | 2014-07-15 |
| 1083038210 | Steven Hall | Nurse Practitioner | 210 Black Gold Blvd, Ste 106, Hazard, KY 41701-2620 | 2014-02-07 |
| 1598000580 | Sonya Asher | Physical Therapist | 210 Black Gold Blvd, Suite 103, Hazard, KY 41701-2620 | 2012-12-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528557147 | Mercy Medical Clinic Pllc | Family Medicine | 14659 Us N Hwy 25e, Ste 16, Corbin, KY 41701 | 2018-05-09 |
| 1770080574 | John Corey Taylor | Student in an Organized Health Care Education/Training Program | 750 Morton Blvd., Hazard, KY 41701 | 2018-04-09 |
| 1700304714 | Kentucky River District Health Department | Public Health or Welfare | 72 Miss Edna Lane, Hazard, KY 41701 | 2017-08-30 |
| 1932637972 | Uvalyne Diane Preston | Dietitian, Registered | 210 Black Gold Blvd., Suite 107, Hazard Va Clinic, Hazard, KY 41701 | 2017-06-02 |
| 1124471370 | Family Center LLC | Specialist/Technologist, Other | 101 Town and Country Lane, Hazard, KY 41701 | 2016-07-22 |
| 1558730168 | Southgate Independent School District | Local Education Agency (LEA) | 6 William Blatt Ave, Southgate, KY 41701 | 2015-09-24 |
| 1285016980 | Jonathan Sizemore | Speech-Language Pathologist | 9821 Ky Hwy 476, Hazard, KY 41701 | 2015-06-18 |
| 1295126233 | Herbal Secrets | Skilled Nursing Facility | 202 Cliff View Lane, Hazard, KY 41701 | 2015-02-12 |
| 1417393414 | Bhg Xxvi, LLC | Case Management | 48 Independence Drive, Hazard, KY 41701 | 2013-05-16 |
| 1447585336 | Ace Clinique Pharmacy | Pharmacy | 207 Roy Campbell Dr, Hazard, KY 41701 | 2009-10-09 |
| Find all providers in zip 41701 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245293711 | Kay Delphia Taylor | Nurse Practitioner | 102 Medical Center Drive, Hazard, KY 41701 | 2006-04-07 |
| 1891338299 | Kendra N Wiseman | Nurse Practitioner | 102 Medical Center Dr, Hazard, KY 41701-9421 | 2019-10-18 |
| 1548803877 | Teresa L Gibson | Nurse Practitioner | 102 Medical Center Dr, Hazard, KY 41701-9421 | 2019-10-18 |
| 1295397800 | Evelyn Mullins | Nurse Practitioner | 210 Black Gold Blvd Ste 106, Hazard, KY 41701-2620 | 2019-07-03 |
| 1043728124 | Christina Ruth Martin | Nurse Practitioner | 101 Town and Country Ln Ste 100, Hazard, KY 41701-9524 | 2018-01-11 |
| 1104343268 | Tammy Nicole Bailey | Nurse Practitioner | 101 Town and Country Ln Ste 100, Hazard, KY 41701-9524 | 2017-08-29 |
| 1073917746 | Jerrina Gusler | Nurse Practitioner | 102 Medical Center Dr, Hazard, KY 41701-9421 | 2014-10-09 |
| 1457792533 | Stephanie Strand | Nurse Practitioner | 115 Rockwood Ln, Hazard, KY 41701-9415 | 2013-07-17 |
| 1295024297 | Ashley Cornett | Nurse Practitioner | 1908 N Main St, Hazard, KY 41701-2505 | 2011-03-31 |
| 1336472687 | Tammy Yvonne Books | Nurse Practitioner | 115 Rockwood Ln, Hazard, KY 41701-9415 | 2009-09-17 |
| Find all providers in HAZARD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.