Karen L Krustapentus, APRN, BC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

000912 Issued in CT

Practice address

701 Enfield St
Springfield Medical Associates
Enfield, CT 06082-2961

Phone

(860) 741-6058

Fax

(860) 741-6864

NPI assigned

Jun 24, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Karen Larson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Novus Healthcare Group, LLC

  • Family Medicine Physician
  • Spring Park, MN
  • NPI 1346581485
  NPD

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266796800000",
    "number": "1285660860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 MAIN STREET",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "01104",
            "telephone_number": "413-739-5676",
            "fax_number": "413-739-2278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 ENFIELD ST",
            "address_2": "SPRINGFIELD MEDICAL ASSOCIATES",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060822961",
            "telephone_number": "860-741-6058",
            "fax_number": "860-741-6864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUSTAPENTUS",
        "first_name": "KAREN",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "APRN, BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-24",
        "last_updated": "2010-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "163873",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CT",
            "license": "000912",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "NP3080",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "LARSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jenny Koshy, APRN
• Michelle Anne Kososki, RPH
• Priscilla Jan Kowal, MPT,COTA/L
• Izabela Krakowiak Colasacco, D.O.
• Kelsey Kreminec, DPT
• Lynn Kula, RD, CDN
• Alexandra Kulman, OTR/L
• Krista Kulpa, LPC
• Barbara Kuracz, R.N.
• Burcu Kuruca, NP

• Nurse Practitioner in Enfield, CT
• Providers in Enfield, CT by specialty
• Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2010; 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.