Karen Lou Kennedy-Evans, RN, FNP, APRN-BC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

0176318 Issued in IN

Practice address

5090 N Corte de Catalonia
Tucson, AZ 85718-6078

Phone

(520) 232-1019

Fax

(520) 299-1680

NPI assigned

Oct 26, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Miss Karen Lou Laudick Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

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

{
    "created_epoch": "1351209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351209600000",
    "number": "1245583368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5090 N CORTE DE CATALONIA",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857186078",
            "telephone_number": "520-232-1019",
            "fax_number": "520-299-1680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5090 N CORTE DE CATALONIA",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857186078",
            "telephone_number": "520-232-1019",
            "fax_number": "520-299-1680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY-EVANS",
        "first_name": "KAREN",
        "middle_name": "LOU",
        "name_prefix": "Mrs.",
        "credential": "RN, FNP, APRN-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-26",
        "last_updated": "2012-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "0176318",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "871120",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "LAUDICK",
            "middle_name": "LOU",
            "prefix": "MISS",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michael Kendall
• Rhonda Rene Kendall, R.N.
• Kathleen Elizabeth Gibson Kendle, M.D
• Bernard Kennady
• Kennedy Building Solutions, LLC
• Amy Kathleen Kennedy, PHARM.D.
• Brianna R. Kennedy, PTA
• Bruce Allen Kennedy, D.D.S.
• Joseph Patrick Kennedy, D.D.S.
• Kathy Kennedy, RN

• Nurse Practitioner in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2012; 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.