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Chanae Edwanna Allen

Physician β€’ Columbus, OH

Active NPI 1568952927 Individual Practitioner Female Practitioner
Practice location in NPPES

2211 Lake Club Dr
Columbus, OH 432323204

Call 6147045224 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2211 Lake Club Dr

Columbus, OH 432323204

Telephone 6147045224
Other Listings in Public Data

NPPES lists 1 additional practice-address record in Canal Winchester, OH. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2018

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-09-10
Residential Treatment Facility, Physical Disabilities Primary Specialty

NUCC Taxonomy Code: 320700000X

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.

Community/Behavioral Health

NUCC Taxonomy Code: 251S00000X

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Secondary Practice Locations

6833 Spring Bloom Dr

Canal Winchester, OH 431107803

Phone: 6149813748

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location September 10, 2024

Registered at 2211 LAKE CLUB DR, COLUMBUS, OH 432323204 (Tel: 6147045224)

🏒
Secondary Practice Location Registered September 10, 2024

Additional practice office at 6833 Spring Bloom Dr, Canal Winchester, OH 431107803

βœ…
NPI Profile Active May 11, 2018

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) May 11, 2018

Registered at 6833 SPRING BLOOM DR, CANAL WINCHESTER, OH 431107803 (Tel: 6149813748)

πŸ“
Business Mailing Address (Initial Record) May 11, 2018

Registered at 6833 SPRING BLOOM DR, CANAL WINCHESTER, OH 431107803 (Tel: 6149813748)

πŸ‘€
Provider Name / Credentials (Initial Record) May 11, 2018

Recorded as CHANAE ALLEN

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 11, 2018

Residential Treatment Facility, Physical Disabilities

🟒
Initial NPI Registration & Enumeration May 11, 2018

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1568952927
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 11, 2018
Last Update: September 10, 2024
Sole Proprietor: Yes

Mailing Address

6833 Spring Bloom Dr

Canal Winchester, OH 431107803

Phone: 6149813748

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.