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Deactivated NPI 1528204112 Deactivated / Inactive NPI Female Practitioner

Lisa Hammes Allred

Specialist • Phoenix, AZ

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Lisa Allred has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 02, 2009
NPI Deactivation Date May 31, 2017
Total Practice Duration ~8 Years of Practice (2009 – 2017)

Professional Overview & Biography Verified Profile Summary

Lisa Allred was a registered Specialist practicing in Phoenix, AZ. Throughout an active medical career spanning 8 years, Lisa Allred provided care at the practice location at 1021 EAST NICOLET AVENUE until profile deactivation on 2017-05-31.

Practice Location & Contact Primary Location

Practice Address

1021 East Nicolet Avenue

Phoenix, AZ 85020

Telephone 6028619554

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Phoenix, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 36.2 Yrs
State Avg: 35.9 Yrs
Regional Practice Density
196 Specialists

Practicing in Phoenix, AZ (826 Statewide)

Telehealth Adoption Rate
4.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License AZ 4251

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated May 31, 2017

Record deactivated on May 31, 2017

NPI Profile Active January 02, 2009

NPI status registered as active in NPPES database

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Updated Practice Location January 02, 2009

Registered at 1021 EAST NICOLET AVENUE, PHOENIX, AZ 85020 (Tel: 6028619554)

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Updated Business Mailing Address January 02, 2009

Registered at 1031 E NICOLET AVE, PHOENIX, AZ 850205012 (Tel: 6028619554)

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Provider Name / Credentials Updated January 02, 2009

Recorded as LISA ALLRED

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 02, 2009

Specialist (License #4251 in AZ)

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Initial NPI Registration & Enumeration January 02, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1528204112
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 02, 2009
Last Update: January 02, 2009
Deactivation Date: May 31, 2017

Mailing Address

1031 E Nicolet Ave

Phoenix, AZ 850205012

Phone: 6028619554

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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