Individual provider Active NPI

Karena Renee Berry, REGISTERED NURSE

  • Registered Nurse
  • Coweta, OK
National Provider Identifier
1033693262
Registry record updated Sep 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
126798 Issued in OK
Practice address
324 E Chestnut St
Coweta, OK 74429-2532
Phone
(918) 279-6565
Fax
(918) 279-6551
NPI assigned
Sep 24, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 126798 OK Primary

Addresses

Primary practice location

324 E Chestnut St
Coweta, OK 74429-2532

Mailing address

324 E Chestnut St
Coweta, OK 74429-2532
Phone (918) 279-6565

Other names 1

  • Karena Carnley Professional name

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

State licenses

LicenseStateTypeSpecialty
126798OKMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Melton Health and Medical Services Past Accepting new patients
MTF Counseling Resources, LLC PastSince Aug 23, 2016 Accepting new patients

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": "1537747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600387200000",
    "number": "1033693262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 E CHESTNUT ST",
            "city": "COWETA",
            "state": "OK",
            "postal_code": "744292532",
            "telephone_number": "918-279-6565",
            "fax_number": "918-279-6551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 E CHESTNUT ST",
            "city": "COWETA",
            "state": "OK",
            "postal_code": "744292532",
            "telephone_number": "918-279-6565",
            "fax_number": "918-279-6551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRY",
        "first_name": "KARENA",
        "middle_name": "RENEE",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-24",
        "last_updated": "2020-09-18",
        "certification_date": "2020-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OK",
            "license": "126798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KARENA",
            "last_name": "CARNLEY",
            "credential": "RN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Coweta, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2020; 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.