Individual provider Active NPI

Karen Lee Jefferson, CERTIFIED MIDWIFE

  • Advanced Practice Midwife
  • Brooklyn, NY
National Provider Identifier
1285724088
Registry record updated Nov 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
F000928 Issued in NY
Practice address
688 President St
Brooklyn, NY 11215-1208
Phone
(718) 230-4789
Fax
(866) 593-2634
NPI assigned
Oct 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X F000928 NY Primary

Addresses

Primary practice location

688 President St
Brooklyn, NY 11215-1208

Mailing address

688 President St
Brooklyn, NY 11215-1208
Phone (718) 230-4789

Other identifiers 1

IdentifierTypeStateIssuer
02225689MedicaidNY

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
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
000928NYMDPhysician Assistant
F000928NYMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
JJB Midwifery Past Accepting new patients
New York City Health and Hospitals Corporation 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448668800000",
    "number": "1285724088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "688 PRESIDENT ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112151208",
            "telephone_number": "718-230-4789",
            "fax_number": "866-593-2634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "688 PRESIDENT ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112151208",
            "telephone_number": "718-230-4789",
            "fax_number": "866-593-2634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFERSON",
        "first_name": "KAREN",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "CERTIFIED MIDWIFE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2015-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NY",
            "license": "F000928",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02225689",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2015; 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.