JACOB OLIVER ALLEN (NPI# 1689272874) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689272874 |
| Entity Type | Individual |
| Full Name | JACOB OLIVER ALLEN |
| Practice Address |
3506 Frontier Dr Saint Charles MO 63303-6636 |
| Practice Telephone | 6365442388 |
| Mailing Telephone | 6365442388 |
| Mailing Fax Number | 6365442388 |
| Enumeration Date | 2020-10-11 |
| Last Update Date | 2020-10-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | 390200000X | MO | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003464009 | Jacob Miller Allen | Dentist | 10590 Enduring Freedom Dr, Fort Drum, NY 13602-5503 | 2019-09-03 |
| 1972013944 | Jacob Allen | Physical Therapist | 124 Myron St, West Springfield, MA 01089-1420 | 2017-10-04 |
| 1659753200 | Jacob Allen | Nurse Practitioner | 275 Collier Rd Nw, Suite 500, Atlanta, GA 30309-1709 | 2015-06-19 |
| Street Address |
3506 FRONTIER DR |
| City | SAINT CHARLES |
| State | MO |
| Zip Code | 63303-6636 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083214787 | Michael Frederick | Pharmacist | 2855 Veterans Memorial Parkway, (pharmacy), Saint Charles, MO 63303 | 2020-10-30 |
| 1710525639 | Cheryl Ann O'dell | Pharmacist | Schnucks Pharmacy, 60 Harvester Square, St Charles, MO 63303 | 2019-12-11 |
| 1255821302 | Melinda R Winfield | Nurse Practitioner | 1313 Park Ct, Saint Charles, MO 63303 | 2018-05-15 |
| 1467904839 | Heather Lilledahl | Speech-Language Pathologist | 2800 Old Muegge Road, Saint Charles, MO 63303 | 2016-11-01 |
| 1437608312 | Preferred Family Healthcare | Counselor | 1559 Old S. River Road, St.charles, MO 63303 | 2016-10-03 |
| 1487109146 | Annette Patricia Davenport | Nurse Practitioner | 1551 Wall Street, Logistics Health Inc, Suite 100, Saint Charles, MO 63303 | 2016-08-23 |
| 1053762328 | Sarah Biondo | Speech-Language Pathologist | 7204 Fountainview Circle, Ofallon, MO 63303 | 2016-06-28 |
| 1710331335 | Lindsey Ann Eilers | Counselor | 1570 South Main, Saint Charles, MO 63303 | 2016-04-20 |
| 1174914600 | Jacquelyn Michele Miller | Pharmacy Technician | 3881 Mexico Road, Saint Charles, MO 63303 | 2015-02-05 |
| 1164838132 | Francelle Denise Neal | Counselor | 2480 Executive Dr Ste 111, Saint Charles, MO 63303 | 2014-07-10 |
| Find all providers in zip 63303 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548881345 | Elizabeth Lanham | Student in an Organized Health Care Education/Training Program | 4 Wagontrail Ct, Saint Charles, MO 63303-4448 | 2020-05-03 |
| 1447870431 | Carly Diane Leigraf | Student in an Organized Health Care Education/Training Program | 210 Sun Lake Dr, Saint Charles, MO 63301-3001 | 2020-04-20 |
| 1891253704 | Mackenzie Lynn Hayden | Student in an Organized Health Care Education/Training Program | 81 Lac Terre Ct, Saint Charles, MO 63304-1000 | 2019-03-10 |
| 1578021762 | Cory Baker | Student in an Organized Health Care Education/Training Program | 2 N Trumbull Cir, Saint Charles, MO 63301-8403 | 2019-03-06 |
| 1265923908 | Michael Kateman | Student in an Organized Health Care Education/Training Program | 3158 Willow Bend Dr, Saint Charles, MO 63303-6538 | 2018-05-29 |
| 1457899106 | Thomas Robert Wolfsmith | Student in an Organized Health Care Education/Training Program | 570 Horizon Dr W, Saint Charles, IL 60175-6555 | 2017-02-02 |
| 1043447022 | Jennifer Lauren Jones | Student in an Organized Health Care Education/Training Program | 14 Olde Forge Dr, Saint Charles, MO 63301-1528 | 2009-06-17 |
| 1881291102 | Hannah Bergstrom | Student in an Organized Health Care Education/Training Program | 209 S Kingshighway St, Mailbox #3778, Saint Charles, MO 63301 | 2020-10-09 |
| 1417581455 | Kyle Eric Bishop | Student in an Organized Health Care Education/Training Program | 209 S Kingshighway St, Saint Charles, MO 63301-1693 | 2020-02-28 |
| 1043869977 | Samantha Laine Higgerson | Student in an Organized Health Care Education/Training Program | 209 S Kingshighway St, Saint Charles, MO 63301-1695 | 2019-09-04 |
| Find all providers in SAINT CHARLES | ||||
| City | SAINT CHARLES |
| Zip Code | 63303 |
Please comment or provide details below to improve the information on JACOB OLIVER ALLEN.
| 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.