Active NPI
Kareen K Worrell, D.O.
- Family Medicine Physician
- New Castle, NH
National Provider Identifier
1114068285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 7553
- Practice address
- 15 Steamboat Lane
New Castle, NH 03854-0558 - Phone
- (603) 436-2260
- Fax
- (603) 436-2258
- NPI assigned
- Feb 9, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 7553 | NH | Primary |
Addresses
Primary practice location
15 Steamboat Lane
New Castle, NH 03854-0558
Mailing address
15 Steamboat Lane
P.O.Box 558
New Castle, NH 03854-0558
Phone (603) 436-2260
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30221758 | Medicaid | NH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Apr 1, 2013 through Apr 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7553 | NH | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1114068285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 STEAMBOAT LANE",
"address_2": "P.O.BOX 558",
"city": "NEW CASTLE",
"state": "NH",
"postal_code": "038540558",
"telephone_number": "603-436-2260",
"fax_number": "603-436-2258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 STEAMBOAT LANE",
"city": "NEW CASTLE",
"state": "NH",
"postal_code": "038540558",
"telephone_number": "603-436-2260",
"fax_number": "603-436-2258"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WORRELL",
"first_name": "KAREEN",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NH",
"license": "7553",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30221758",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}Other providers in New Castle, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.