Individual provider Active NPI

Karen Ann Rahe, CNP

  • Nurse Practitioner
  • Cincinnati, OH
National Provider Identifier
1184715088
Registry record updated Feb 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
05011 Issued in OH
Practice address
4044 McLean Dr
Cincinnati, OH 45255-3323
Phone
(513) 528-3300
Fax
(513) 528-9023
NPI assigned
Sep 27, 2006
Last updated
Feb 28, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 05011 OH Primary
Registered Nurse 163W00000X RN178524 OH

Addresses

Primary practice location

4044 McLean Dr
Cincinnati, OH 45255-3323

Mailing address

3200 Vine Street
Building 2
Cincinnati, OH 45220
Phone (513) 861-3100

Other identifiers 2

IdentifierTypeStateIssuer
000000304560OtherOHANTHEM
0514554MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN178524OHMDRegistered Nurse
05011OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Infectious Diseases Consultants of Cincinnati Inc. PastSince Sep 16, 2001 Accepting new patients
E Cincinnati Inter Med Past Accepting new patients

Organizations & group practices 2

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": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488240000000",
    "number": "1184715088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 VINE STREET",
            "address_2": "BUILDING 2",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45220",
            "telephone_number": "513-861-3100",
            "fax_number": "513-528-9023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4044 MCLEAN DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452553323",
            "telephone_number": "513-528-3300",
            "fax_number": "513-528-9023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAHE",
        "first_name": "KAREN",
        "middle_name": "ANN",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2017-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "05011",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN178524",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000304560",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0514554",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.