Individual provider Active NPI

Karen M Smith, NP

  • Nurse Practitioner
  • Newark, DE
National Provider Identifier
1003881194
Registry record updated Jul 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
LB0000145 Issued in DE
Practice address
4765 Ogletown Stanton Rd
Suite 1E20
Newark, DE 19713-8003
Phone
(302) 733-5700
Fax
(302) 733-5775
NPI assigned
Feb 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X LB0000145 DE Primary

Addresses

Primary practice location

4765 Ogletown Stanton Rd
Suite 1E20
Newark, DE 19713-8003

Mailing address

4765 Ogletown Stanton Rd
Suite 1E20
Newark, DE 19713-8003
Phone (302) 733-5700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090604000166 DE Practitioner - Nurse Practitioner 7416007943 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vascular Specialists PAGroup PAC ID 8527222835, 4 clinicians

Practice addresses (Care Compare)

1941 Limestone Rd
Suite 211
Wilmington, DE 19808-5400
Phone (302) 543-8100

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vascular Specialists, P.a. CurrentSince Jun 5, 2012 Accepting new patients
Vascular Consultants PA Past Accepting new patients

Locations

1 Centurian Dr
Ste 307
Newark, DE 19713
Phone (302) 543-8100

1941 Limestone Rd
Ste 211
Wilmington, DE 19808
Phone (302) 998-1151

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277942400000",
    "number": "1003881194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4765 OGLETOWN STANTON RD",
            "address_2": "SUITE 1E20",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197138003",
            "telephone_number": "302-733-5700",
            "fax_number": "302-733-5775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4765 OGLETOWN STANTON RD",
            "address_2": "SUITE 1E20",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197138003",
            "telephone_number": "302-733-5700",
            "fax_number": "302-733-5775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KAREN",
        "middle_name": "M",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-22",
        "last_updated": "2010-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "DE",
            "license": "LB0000145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.