Active NPI
Karen W Culbreth, PA
- Physician Assistant
- Tampa, FL
National Provider Identifier
1164581484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA 1527
- Practice address
- 812 W Dr Martin Luther King Jr Blvd
Suite 201
Tampa, FL 33603-3338 - Phone
- (813) 224-9222
- Fax
- (813) 224-9224
- NPI assigned
- Dec 6, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA 1527 | FL | Primary |
Addresses
Primary practice location
812 W Dr Martin Luther King Jr Blvd
Suite 201
Tampa, FL 33603-3338
Mailing address
812 W Dr Martin Luther King Jr Blvd
Suite 201
Tampa, FL 33603-3338
Phone (813) 224-9222
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA 1527 | FL | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465776000000",
"number": "1164581484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "812 W DR MARTIN LUTHER KING JR BLVD",
"address_2": "SUITE 201",
"city": "TAMPA",
"state": "FL",
"postal_code": "336033338",
"telephone_number": "813-224-9222",
"fax_number": "813-224-9224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "812 W DR MARTIN LUTHER KING JR BLVD",
"address_2": "SUITE 201",
"city": "TAMPA",
"state": "FL",
"postal_code": "336033338",
"telephone_number": "813-224-9222",
"fax_number": "813-224-9224"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CULBRETH",
"first_name": "KAREN",
"middle_name": "W",
"name_prefix": "Mrs.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-06",
"last_updated": "2016-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA 1527",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.