Individual provider Active NPI

Karen Ellen Bohlen, FNP

  • Family Nurse Practitioner
  • Charlotte, NC
National Provider Identifier
1245275494
Registry record updated Jan 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5001130 Issued in NC
Practice address
2605 Water Ridge Pkwy
Charlotte, NC 28217-4565
Phone
(704) 306-9355
Fax
(704) 306-4614
NPI assigned
Jun 19, 2006
Last updated
Jan 30, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2023

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 5001130 NC Primary

Addresses

Primary practice location

2605 Water Ridge Pkwy
Charlotte, NC 28217-4565

Mailing address

5642 Garrow Glen Rd
Charlotte, NC 28278-6984
Phone (704) 222-6298

Other practice location 1

831 E Morehead St Ste 900
Charlotte, NC 28202-2726
Phone (704) 333-5575

Other practice location 2

8600 Andrew Carnegie Blvd
Charlotte, NC 28262-8551
Phone (704) 988-2572

Other practice location 3

214 N Tryon St
Charlotte, NC 28202-1078
Phone (980) 465-5154

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

State licenses

LicenseStateTypeSpecialty
5001130NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Premise Health of North Carolina Medical PC Past Accepting new patients
Targetcare, Inc. 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": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675036800000",
    "number": "1245275494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5642 GARROW GLEN RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282786984",
            "telephone_number": "704-222-6298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2605 WATER RIDGE PKWY",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282174565",
            "telephone_number": "704-306-9355",
            "fax_number": "704-306-4614"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "831 E Morehead St Ste 900",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282022726",
            "country_code": "US",
            "telephone_number": "704-333-5575",
            "fax_number": "704-943-9121",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8600 Andrew Carnegie Blvd",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282628551",
            "country_code": "US",
            "telephone_number": "704-988-2572",
            "fax_number": "704-988-4820",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "214 N Tryon St",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282021078",
            "country_code": "US",
            "telephone_number": "980-465-5154",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOHLEN",
        "first_name": "KAREN",
        "middle_name": "ELLEN",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-19",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5001130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.