Individual provider Active NPI

Karen B Farnum, APRN BC PNP

  • Pediatric Nurse Practitioner
  • Lowell, MA
National Provider Identifier
1013906924
Registry record updated Jan 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
137887 Issued in MA
Practice address
33 Bartlett St Ste 305
Lowell, MA 01852-1318
Phone
(978) 452-2200
Fax
(978) 452-2292
NPI assigned
Oct 14, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 137887 MA Primary

Addresses

Primary practice location

33 Bartlett St Ste 305
Lowell, MA 01852-1318

Mailing address

33 Bartlett St Ste 305
Lowell, MA 01852-1318
Phone (978) 452-2200

Other practice location 1

506 Groton Rd
Westford, MA 01886-6326
Phone (978) 392-2200

Other identifiers 1

IdentifierTypeStateIssuer
NP2583OtherMABLUE CROSS BLUE SCHEILD

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)
Not enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
137887MAMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
GL Pediatrics Inc PastSince Apr 23, 2023 Accepting new patients
Merrimack Valley Pediatric Associates Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: kfarnum7307@direct.chppoc.masshiway.net

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.

NPI Registry JSON

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

{
    "created_epoch": "1129248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705536000000",
    "number": "1013906924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 BARTLETT ST STE 305",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018521318",
            "telephone_number": "978-452-2200",
            "fax_number": "978-452-2292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 BARTLETT ST STE 305",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018521318",
            "telephone_number": "978-452-2200",
            "fax_number": "978-452-2292"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "506 Groton Rd",
            "address_purpose": "LOCATION",
            "city": "Westford",
            "state": "MA",
            "postal_code": "018866326",
            "country_code": "US",
            "telephone_number": "978-392-2200",
            "fax_number": "978-392-8500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FARNUM",
        "first_name": "KAREN",
        "middle_name": "B",
        "credential": "APRN BC PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-14",
        "last_updated": "2024-01-18",
        "certification_date": "2023-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MA",
            "license": "137887",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SCHEILD",
            "identifier": "NP2583",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lowell, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; 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.