Individual provider Active NPI

Karen Ann Land, CRNP

  • Nurse Practitioner
  • Opelika, AL
National Provider Identifier
1063553840
Registry record updated Feb 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1-037856 Issued in AL
Practice address
2401 Village Professional Pkwy
Opelika, AL 36801-4702
Phone
(334) 749-8121
Fax
(334) 749-6166
NPI assigned
Feb 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1-037856 AL Primary

Addresses

Primary practice location

2401 Village Professional Pkwy
Opelika, AL 36801-4702

Mailing address

2401 Village Professional Pkwy
Opelika, AL 36801-4702
Phone (334) 749-8121

Other identifiers 2

IdentifierTypeStateIssuer
1-037856OtherALALA BOARD NURSING LICENSE
890005170MedicaidAL

Other names 1

  • Ms. Karen Ann Allred Former 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
1-037856ALMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235433600000",
    "number": "1063553840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 VILLAGE PROFESSIONAL PKWY",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368014702",
            "telephone_number": "334-749-8121",
            "fax_number": "334-749-6166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 VILLAGE PROFESSIONAL PKWY",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368014702",
            "telephone_number": "334-749-8121",
            "fax_number": "334-749-6166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAND",
        "first_name": "KAREN",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-12",
        "last_updated": "2009-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-037856",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALA BOARD NURSING LICENSE",
            "identifier": "1-037856",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890005170",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "ALLRED",
            "middle_name": "ANN",
            "prefix": "MS.",
            "credential": "CRNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Opelika, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.

Verify at the official NPI Registry.