Individual provider Active NPI

Karen M Myrick, APRN

  • Family Nurse Practitioner
  • Farmington, CT
National Provider Identifier
1164429791
Registry record updated Aug 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
02247 Issued in CT
Practice address
263 Farmington Ave
Uconn Medical Group, Orthopaedics
Farmington, CT 06030-0001
Phone
(860) 679-6600
Fax
(860) 679-6604
NPI assigned
Jun 28, 2005
Last updated
Aug 24, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 02247 CT Primary

Addresses

Primary practice location

263 Farmington Ave
Uconn Medical Group, Orthopaedics
Farmington, CT 06030-0001

Mailing address

65 Kane St
Provider Enrollment, 2ND Floor
West Hartford, CT 06119-2110
Phone (860) 523-6421

Other identifiers 1

IdentifierTypeStateIssuer
4220480MedicaidCT

Other names 1

  • Karen M Sanders Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20060313000327 CT Practitioner - Nurse Practitioner 8527075779 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Connecticut School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

31 Seymour St
Suite 100
Hartford, CT 06106-5521
Phone (860) 549-3210

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
02247CTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
New England Urgent Care Enfield LLC Past Accepting new patients
University of Connecticut Health Center Past Accepting new patients
New England Urgent Care Enfield LLC Past Accepting new patients
Connecticut Children's Specialty Group, Inc. Past Accepting new patients
University of Connecticut Health Center Past Accepting new patients

Organizations & group practices 6

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": "1119916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345766400000",
    "number": "1164429791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 KANE ST",
            "address_2": "PROVIDER ENROLLMENT, 2ND FLOOR",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061192110",
            "telephone_number": "860-523-6421",
            "fax_number": "860-523-3701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "263 FARMINGTON AVE",
            "address_2": "UCONN MEDICAL GROUP, ORTHOPAEDICS",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060300001",
            "telephone_number": "860-679-6600",
            "fax_number": "860-679-6604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYRICK",
        "first_name": "KAREN",
        "middle_name": "M",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-28",
        "last_updated": "2012-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "02247",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4220480",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "SANDERS",
            "middle_name": "M",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Farmington, CT

Sources for this page

Verify at the official NPI Registry.