Karen Farmer, NP
Individual provider Active NPI Nurse Practitioner · Avondale, AZ
NPI 1134478746 · NPPES record last updated Dec 9, 2021
Key facts
- NPI
- 1134478746
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- AP4643 (AZ)
- Practice address
- 11435 W Buckeye Rd Ste 104-271
Avondale, AZ 85323-6812 - Phone
- (602) 598-0903
- NPI assigned
- Aug 29, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in AZ, OR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20121027000033 | AZ | Practitioner - Nurse Practitioner | 3779733712 | Reassigns benefits to 1 organization |
| I20241002002109 | OR | Practitioner - Nurse Practitioner | 3779733712 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adobe Provider Group | Nurse Practitioner | Current |
Accepting new patients |
| Adobe PH PC | Current |
Accepting new patients | |
| Adobe Care and Wellness LLC | Past | Accepting new patients | |
| Greater Phoenix Collaborative Care PC | Past |
Accepting new patients |
Locations
7500 N Dreamy Draw Dr
Ste 100B
Phoenix, AZ 85020
Phone (520) 233-7111
7500 N Dreamy Draw Dr
Ste 100
Phoenix, AZ 85020
Phone (520) 233-7111
8215 SW Tualatin Sherwood Rd
Ste 200
Tualatin, OR 97062
Phone (503) 899-3793
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AP4643 | AZ | Yes |
Addresses
Primary practice location
11435 W Buckeye Rd Ste 104-271
Avondale, AZ 85323-6812
Mailing address
11435 W Buckeye Rd Ste 104-271
Avondale, AZ 85323-6812
Phone (602) 598-0903
Other providers in Avondale, AZ
- Excellent Home Care LLC
- Breanne Fahs
- Faithworx Companion Home Care LLC.
- Family Focus Speech Therapy
- Family Home LLC
- Madison Farmer
- Diane Farnsworth
- Anthony Farrell
- Farzin Allameh DDS PC of Avondale
- Fast Ride LLC
All providers in Avondale, AZ · Nurse Practitioner in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 9, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.