Individual provider Active NPI

Karen Farmer, NP

  • Nurse Practitioner
  • Avondale, AZ
National Provider Identifier
1134478746
Registry record updated Dec 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP4643 Issued in AZ
Practice address
11435 W Buckeye Rd Ste 104-271
Avondale, AZ 85323-6812
Phone
(602) 598-0903
NPI assigned
Aug 29, 2012
Last updated
Dec 9, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2021

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 AP4643 AZ Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, OR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
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

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

Practice roles

OrganizationSpecialtyStatusNew patients
Adobe Provider Group Nurse Practitioner CurrentSince Jul 1, 2023 Accepting new patients
Adobe PH PC CurrentSince Sep 23, 2024 Accepting new patients
Adobe Care and Wellness LLC Past Accepting new patients
Greater Phoenix Collaborative Care PC PastSince Oct 1, 2012 Accepting new patients

Locations

7500 N Dreamy Draw Dr
Ste 100
Phoenix, AZ 85020
Phone (520) 233-7111

7500 N Dreamy Draw Dr
Ste 100B
Phoenix, AZ 85020
Phone (520) 233-7111

8215 SW Tualatin Sherwood Rd
Ste 200
Tualatin, OR 97062
Phone (503) 899-3793

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1346198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639008000000",
    "number": "1134478746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11435 W BUCKEYE RD STE 104-271",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853236812",
            "telephone_number": "602-598-0903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11435 W BUCKEYE RD STE 104-271",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853236812",
            "telephone_number": "602-598-0903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARMER",
        "first_name": "KAREN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-29",
        "last_updated": "2021-12-09",
        "certification_date": "2021-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "AP4643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avondale, AZ

Sources for this page

Verify at the official NPI Registry.