Healthcare Provider Details

I. General information

NPI: 1518080142
Provider Name (Legal Business Name): DAVID AUSTIN ALLCOTT APRN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/09/2007
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1410 N PITTSBURG ST STE A
KENNEWICK WA
99336-8211
US

IV. Provider business mailing address

1410 N PITTSBURG ST STE A
KENNEWICK WA
99336-8211
US

V. Phone/Fax

Practice location:
  • Phone: 509-662-1955
  • Fax: 509-662-6695
Mailing address:
  • Phone: 509-662-1955
  • Fax: 509-662-6695

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LX0106X
TaxonomyOccupational Health Nurse Practitioner
License NumberAP60786233
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code163WX0106X
TaxonomyOccupational Health Registered Nurse
License Number60744832
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: