Individual provider Active NPI

Karen K. Charland, NP

  • Nurse Practitioner
  • Granby, CO
National Provider Identifier
1205974011
Registry record updated Jul 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
105005 Issued in CO
Practice address
3 Ten Mile Drive
Granby, CO 80446-1448
Phone
(970) 887-0101
Fax
(970) 887-3202
NPI assigned
Feb 2, 2007
Last updated
Jul 18, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2013

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 105005 CO Primary

Addresses

Primary practice location

3 Ten Mile Drive
Granby, CO 80446-1448

Mailing address

PO Box 1448
3 Ten Mile Drive
Granby, CO 80446-1448
Phone (970) 887-0101

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20080228000462 CO Practitioner - Nurse Practitioner 8921182957 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Internal Medicine Assoc. of Wheat Ridge, P.C.Group PAC ID 8325014053, 5 clinicians

Practice addresses (Care Compare)

1805 Kipling St
Lakewood, CO 80215-2873
Phone 303422372728

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
105005COMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Internal Medicine Assoc. of Wheat Ridge, P.C. CurrentSince Mar 5, 2018 Accepting new patients

Locations

1805 Kipling St
Lakewood, CO 80215
Phone (303) 232-3232

Organizations & group practices 1

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.

Hospital & facility affiliations 5

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": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374105600000",
    "number": "1205974011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1448",
            "address_2": "3 TEN MILE DRIVE",
            "city": "GRANBY",
            "state": "CO",
            "postal_code": "804461448",
            "telephone_number": "970-887-0101",
            "fax_number": "970-887-3202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 TEN MILE DRIVE",
            "city": "GRANBY",
            "state": "CO",
            "postal_code": "804461448",
            "telephone_number": "970-887-0101",
            "fax_number": "970-887-3202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARLAND",
        "first_name": "KAREN",
        "middle_name": "K.",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-02",
        "last_updated": "2013-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "105005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Granby, CO

Sources for this page

Verify at the official NPI Registry.