Active NPI
Karen Ellen Rednor, MD
- Pediatrics Physician
- Southborough, MA
National Provider Identifier
1043267735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 72055
- Practice address
- 162 Cordaville Rd
Suite 185
Southborough, MA 01772-1838 - Phone
- (508) 229-8811
- Fax
- (508) 229-0666
- NPI assigned
- May 28, 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 72055 | MA | Primary |
Addresses
Primary practice location
162 Cordaville Rd
Suite 185
Southborough, MA 01772-1838
Mailing address
162 Cordaville Rd Ste 185
PO Box 296
Southborough, MA 01772-1838
Phone (508) 229-8811
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110047970A | Medicaid | MA |
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 72055 | MA | MD | Pediatrics Physician |
Interoperability endpoints
- karen.rednor.1@966.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1336348800000",
"number": "1043267735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "162 CORDAVILLE RD STE 185",
"address_2": "PO BOX 296",
"city": "SOUTHBOROUGH",
"state": "MA",
"postal_code": "017721838",
"telephone_number": "508-229-8811",
"fax_number": "508-229-0666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "162 CORDAVILLE RD",
"address_2": "SUITE 185",
"city": "SOUTHBOROUGH",
"state": "MA",
"postal_code": "017721838",
"telephone_number": "508-229-8811",
"fax_number": "508-229-0666"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REDNOR",
"first_name": "KAREN",
"middle_name": "ELLEN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-28",
"last_updated": "2012-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MA",
"license": "72055",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110047970A",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Southborough, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.