Karen Berg

Primary specialty

Health EducatorTaxonomy code 174H00000X

Practice address

4550 Village Center Dr
Palm Harbor, FL 34685-1224

Phone

(727) 772-9622

NPI assigned

Sep 30, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Karen Kabak Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Clinical Mobility LLC

  • Health Service Clinic/Center
  • Celebration, FL
  • NPI 1467542555
  NPD (past)
• Young Men'S Christian Association of the Suncoast, Inc.

  • Health Educator
  • Palm Harbor, FL
  • NPI 1194272518
  NPD (past)

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

{
    "created_epoch": "1664496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664496000000",
    "number": "1013631290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4178 MORENO DR",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346853646",
            "telephone_number": "314-495-2123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4550 VILLAGE CENTER DR",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346851224",
            "telephone_number": "727-772-9622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERG",
        "first_name": "KAREN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-30",
        "last_updated": "2022-09-30",
        "certification_date": "2022-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "KABAK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sonia Benitez Cedeno
• Chez Nicole Bennett
• Floyd E. Bennett, DMD
• Derrick M Benton, PHARMD
• Shawn David Benton, PTA
• Bruce Thomas Bergen, PTA
• Ira F Berger, D.D.S.
• Bethany Lynn Berghoffer, PA C
• Donald Jay Berglund, DDS
• Elaine Sandra Berman, EDD PSYCHOLOGIST

• Health Educator in Palm Harbor, FL
• Providers in Palm Harbor, FL by specialty
• Health Educator in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2022; 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.