Individual provider Active NPI

Karin E Ohlson, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1104867589
Registry record updated Dec 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP11791 Issued in AZ
Practice address
6554 E Carondelet Dr
Tucson, AZ 85710-2117
Phone
(520) 664-5301
Fax
(520) 225-0699
NPI assigned
Jun 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X AP3294 AZ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP11791 AZ Primary

Addresses

Primary practice location

6554 E Carondelet Dr
Tucson, AZ 85710-2117

Mailing address

6554 E Carondelet Dr
Tucson, AZ 85710-2117
Phone (520) 664-5301

Other identifiers 1

IdentifierTypeStateIssuer
415121MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20090428000313 AZ Practitioner - Nurse Practitioner 3678634474 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Community Bridges IncGroup PAC ID 2062699721, 106 clinicians

Practice addresses (Care Compare)

250 S Toole Ave
Suite B
Tucson, AZ 85701-1814
Phone (520) 323-1312

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP11791AZMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Bridges, Inc Current Accepting new patients
Community Bridges, Inc. Current Accepting new patients
Community Bridges, Inc. CurrentSince Apr 29, 2024 Accepting new patients
Community Bridges, Inc. Current Accepting new patients
Pinnacle Healthcare, LLC CurrentSince Feb 1, 2015 Accepting new patients
Community Bridges, Inc. CurrentSince Apr 29, 2024 Accepting new patients
Hospitalists of Arizona, Inc Past Accepting new patients
Community Bridges, Inc. Past Accepting new patients

Locations

1855 W Baseline Rd
Ste 101
Mesa, AZ 85202

1119 E Rancho Vistoso Blvd
Oro Valley, AZ 85755
Phone (520) 825-4669

1520 E Pima St
Phoenix, AZ 85034
Phone (480) 232-8325

2770 E Van Buren St
Rm Abd
Phoenix, AZ 85008
Phone (602) 273-9999

1785 E Skyline Dr
Ste 181
Tucson, AZ 85718
Phone (520) 433-4964

250 S Toole Ave
Ste A
Tucson, AZ 85701
Phone (520) 323-1312

6890 E Sunrise Dr
Ste 120
Tucson, AZ 85750
Phone (520) 408-4321

250 S Toole Ave
Ste B
Tucson, AZ 85701
Phone (520) 323-1312

5830 E Pima St
Tucson, AZ 85712
Phone (520) 722-5515

5663 E Grant Rd
Tucson, AZ 85712
Phone (520) 336-9179

3180 E 40th St
Yuma, AZ 85365
Phone (928) 341-0335

Interoperability endpoints

  • Direct secure messaging: karin.ohlson.p4@direct.caremorewest.nextgenshare.com
  • Direct secure messaging: karin.ohlsonnp.p1@direct.cbridges.nextgenshare.com

Organizations & group practices 8

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": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639958400000",
    "number": "1104867589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6554 E CARONDELET DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857102117",
            "telephone_number": "520-664-5301",
            "fax_number": "520-225-0699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6554 E CARONDELET DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857102117",
            "telephone_number": "520-664-5301",
            "fax_number": "520-225-0699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OHLSON",
        "first_name": "KARIN",
        "middle_name": "E",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-09",
        "last_updated": "2021-12-20",
        "certification_date": "2021-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "AZ",
            "license": "AP3294",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "AP11791",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "415121",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.