Individual provider Active NPI

Karen Lee Root, NP

  • Family Nurse Practitioner
  • Lyons, KS
National Provider Identifier
1053585836
Registry record updated Apr 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
13-93251-022 Issued in KS
Practice address
619 S Clark Ave
Lyons, KS 67554-3003
Phone
(620) 257-5173
Fax
(620) 257-3002
NPI assigned
Apr 14, 2008
Last updated
Apr 14, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 13-93251-022 KS Primary

Addresses

Primary practice location

619 S Clark Ave
Lyons, KS 67554-3003

Mailing address

619 S Clark Ave
Lyons, KS 67554-3003
Phone (620) 257-5173

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080926000632 KS Practitioner - Nurse Practitioner 5092882498 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1221 W Noble St
Lyons Medical Center
Lyons, KS 67554-3026
Phone (620) 257-5124

619 S Clark Ave
Lyons, KS 67554-3003
Phone (620) 257-5173

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
13-93251-022KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital District No 1 of Rice Co CurrentSince Oct 18, 2010 Accepting new patients
Hospital District No 1 of Rice Co Current Accepting new patients
Medical Center, P.a. Past Accepting new patients

Locations

1221 W Noble St
Lyons, KS 67554
Phone (620) 257-5124

619 S Clark Ave
Lyons, KS 67554
Phone (620) 257-5173

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AEIJCA
  • Direct secure messaging: karen.root@khindirect.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1208131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208131200000",
    "number": "1053585836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 S CLARK AVE",
            "city": "LYONS",
            "state": "KS",
            "postal_code": "675543003",
            "telephone_number": "620-257-5173",
            "fax_number": "620-257-3002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 S CLARK AVE",
            "city": "LYONS",
            "state": "KS",
            "postal_code": "675543003",
            "telephone_number": "620-257-5173",
            "fax_number": "620-257-3002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROOT",
        "first_name": "KAREN",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-14",
        "last_updated": "2008-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "13-93251-022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lyons, KS

Sources for this page

Verify at the official NPI Registry.