Active NPI
Karen Ann Perry
- General Practice Physician
- Mena, AR
National Provider Identifier
1033198056
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- N7848
- Practice address
- 1690 Polk 67
Mena, AR 71953-7715 - Phone
- (479) 394-1600
- Fax
- (479) 394-1606
- NPI assigned
- Jan 10, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | N7848 | AR | Primary |
Addresses
Primary practice location
1690 Polk 67
Mena, AR 71953-7715
Mailing address
300 Crestwood Cir
Mena, AR 71953-5515
Phone (479) 394-1600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 117826001 | Medicaid | AR |
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N7848 | AR | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients |
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.
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1231804800000",
"number": "1033198056",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 CRESTWOOD CIR",
"city": "MENA",
"state": "AR",
"postal_code": "719535515",
"telephone_number": "479-394-1600",
"fax_number": "479-394-1606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1690 POLK 67",
"city": "MENA",
"state": "AR",
"postal_code": "719537715",
"telephone_number": "479-394-1600",
"fax_number": "479-394-1606"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRY",
"first_name": "KAREN",
"middle_name": "ANN",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-10",
"last_updated": "2009-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "AR",
"license": "N7848",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "117826001",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mena, AR
- Thomas Patterson
- Peachtree Lane at Mena, LLC
- Peachtree Mena LLC (Peachtree Assisted Living)
- David C. Peppers, D.D.S.
- Valerie Marie Perez, APRN
- Amy Lanelle Phelps, APRN
- Lana Kay Philpot, PTA
- Polk County Developmental Center, Inc.
- Polk Operations, LLC (Rich Mountain Nursing and Rehab Center)
- Presidential Emergency Physicians, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.