Individual provider Active NPI

Karen C O'Day, CNM, CFNP, MBA

  • Family Nurse Practitioner
  • Santa Fe, NM
National Provider Identifier
1164483962
Registry record updated Mar 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R25968 Issued in NM
Practice address
1911 5TH St
Suite 101
Santa Fe, NM 87505-5403
Phone
(505) 780-8301
Fax
(505) 780-5418
NPI assigned
Mar 31, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R25968 NM Primary
Advanced Practice Midwife 367A00000X 462 NM

Addresses

Primary practice location

1911 5TH St
Suite 101
Santa Fe, NM 87505-5403

Mailing address

1911 5TH St
Suite 101
Santa Fe, NM 87505-5403
Phone (505) 780-8301

Other identifiers 6

IdentifierTypeStateIssuer
201032100OtherNMPRESBYTERIAN HEALTH/SALUD
000G0919MedicaidNM
G0889MedicaidNM
00NM006227OtherNMBLUE CROSS BLUE SHIELD
68638OtherNMPRESBYTERIAN HEALTH/SALUD
850482276OtherNMOTHER INSURANCES

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20040108000548 NM Practitioner - Nurse Practitioner 8022917939 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1911 5TH St
Suite 101
Santa Fe, NM 87505-5403
Phone (505) 780-8301

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife, Master of Business Administration, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R25968NMMDFamily Nurse Practitioner
462NMMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Presbyterian Healthcare Services CurrentSince Dec 1, 2016 Accepting new patients
Presbyterian Healthcare Services CurrentSince Dec 1, 2016 Accepting new patients
New Mexico Primary Care & Midwifery Services, Inc. Family PastSince Jan 1, 1990 Accepting new patients
Taos Health Systems, Inc., Holy Cross Hospital Past Accepting new patients

Locations

3901 Atrisco Dr NW
Albuquerque, NM 87120
Phone (505) 462-7575

2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577

Interoperability endpoints

  • Direct secure messaging: karen.o.day.1@15398.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/15398/brand/1/csg/1/fhir/r4

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489708800000",
    "number": "1164483962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1911 5TH ST",
            "address_2": "SUITE 101",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875055403",
            "telephone_number": "505-780-8301",
            "fax_number": "505-780-5418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 5TH ST",
            "address_2": "SUITE 101",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875055403",
            "telephone_number": "505-780-8301",
            "fax_number": "505-780-5418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'DAY",
        "first_name": "KAREN",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "credential": "CNM, CFNP, MBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-31",
        "last_updated": "2017-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "R25968",
            "primary": true
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NM",
            "license": "462",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRESBYTERIAN HEALTH/SALUD",
            "identifier": "201032100",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000G0919",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G0889",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "00NM006227",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRESBYTERIAN HEALTH/SALUD",
            "identifier": "68638",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER INSURANCES",
            "identifier": "850482276",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

Verify at the official NPI Registry.