Individual provider Active NPI

Karen D Doll, ANP, CVNP

  • Adult Health Nurse Practitioner
  • Charleston, SC
National Provider Identifier
1003136300
Registry record updated Nov 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
305390 Issued in NY
Practice address
Medical University of South Carolina
114 Doughty Street Suite 654
Charleston, SC 29424-0001
Phone
(843) 876-4854
Fax
(843) 876-4413
NPI assigned
Jun 9, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 305390 NY Primary

Addresses

Primary practice location

Medical University of South Carolina
114 Doughty Street Suite 654
Charleston, SC 29424-0001

Mailing address

Medical University of South Carolina
114 Doughty Street Suite 654
Charleston, SC 29424-0001
Phone (843) 876-4854

Other identifiers 1

IdentifierTypeStateIssuer
03743675MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Cardiovascular Associates, P.C. PastSince Jun 1, 1999 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: karen.pearce.p1@direct.scdc.nextgenshare.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1276041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447372800000",
    "number": "1003136300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MEDICAL UNIVERSITY OF SOUTH CAROLINA",
            "address_2": "114 DOUGHTY STREET SUITE 654",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294240001",
            "telephone_number": "843-876-4854",
            "fax_number": "843-876-4413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MEDICAL UNIVERSITY OF SOUTH CAROLINA",
            "address_2": "114 DOUGHTY STREET SUITE 654",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294240001",
            "telephone_number": "843-876-4854",
            "fax_number": "843-876-4413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOLL",
        "first_name": "KAREN",
        "middle_name": "D",
        "credential": "ANP, CVNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-09",
        "last_updated": "2015-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "305390",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03743675",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.