Active NPI
Karen A Resnick, CNM, RN, WHCNP
- Advanced Practice Midwife
- Medford, OR
National Provider Identifier
1285771709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 091007161N5
- Practice address
- 221 W Stewart Ave Ste 101
Medford, OR 97501-3609 - Phone
- (541) 535-6239
- Fax
- (541) 512-1026
- NPI assigned
- Feb 1, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 091007161RN | OR | |
| Women's Health Nurse Practitioner | 363LW0102X | 200050012NP | OR | |
| Advanced Practice Midwife | 367A00000X | 091007161N5 | OR | Primary |
Addresses
Primary practice location
221 W Stewart Ave Ste 101
Medford, OR 97501-3609
Mailing address
931 Chevy Way
Medford, OR 97504-4127
Phone (541) 690-3555
Other practice location 1
2825 E Barnett Rd
Medford, OR 97504-8332
Phone (541) 789-7000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 227698 | Medicaid | OR |
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)
- Enrolled
- Credentials
- Certified Nurse Midwife, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 091007161RN | OR | MD | Registered Nurse |
| 200050012NP | OR | MD | Women's Health Nurse Practitioner |
| 091007161N5 | OR | MD | Advanced Practice Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601337600000",
"number": "1285771709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "931 CHEVY WAY",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975044127",
"telephone_number": "541-690-3555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "221 W STEWART AVE STE 101",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975013609",
"telephone_number": "541-535-6239",
"fax_number": "541-512-1026"
}
],
"practiceLocations": [
{
"address_1": "2825 E Barnett Rd",
"address_purpose": "LOCATION",
"city": "Medford",
"state": "OR",
"postal_code": "975048332",
"country_code": "US",
"telephone_number": "541-789-7000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RESNICK",
"first_name": "KAREN",
"middle_name": "A",
"credential": "CNM, RN, WHCNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-01",
"last_updated": "2020-09-29",
"certification_date": "2020-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OR",
"license": "091007161RN",
"primary": false
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "OR",
"license": "200050012NP",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "OR",
"license": "091007161N5",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "227698",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Medford, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.