Individual provider Active NPI

Karen Eller Buddington, NP

  • Family Nurse Practitioner
  • Abingdon, VA
National Provider Identifier
1306464607
Registry record updated Jun 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024180739 Issued in VA
Practice address
176 Valley St NW
Abingdon, VA 24210-2859
Phone
(276) 628-9547
Fax
(276) 807-1217
NPI assigned
Jul 13, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 0024180739 VA Primary
Registered Nurse 163W00000X 0001139233 VA

Addresses

Primary practice location

176 Valley St NW
Abingdon, VA 24210-2859

Mailing address

169 Stonewall HTS NE
Abingdon, VA 24210-2827
Phone (276) 356-2525

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210604000252 VA Practitioner - Nurse Practitioner 4688073000 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0024180739VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Medical Management Corporation CurrentSince Jun 6, 2021 Accepting new patients
Blue Ridge Medical Management Corporation CurrentSince Jun 6, 2021 Accepting new patients
Blue Ridge Medical Management Corporation Single Specialty Current Accepting new patients
Abingdon Ear Nose & Throat Associates PC Single Specialty PastSince Jun 18, 2023 Accepting new patients

Locations

16000 Johnston Memorial Dr
#304
Abingdon, VA 24211
Phone (276) 258-3600

323 Falls Dr NW
Abingdon, VA 24210
Phone (276) 628-2612

Organizations & group practices 4

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": "1594598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686700800000",
    "number": "1306464607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 STONEWALL HTS NE",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242102827",
            "telephone_number": "276-356-2525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 VALLEY ST NW",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242102859",
            "telephone_number": "276-628-9547",
            "fax_number": "276-807-1217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUDDINGTON",
        "first_name": "KAREN",
        "middle_name": "ELLER",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-13",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024180739",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001139233",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abingdon, VA

Sources for this page

Verify at the official NPI Registry.