Individual provider Active NPI

Karen Blackwell Woronick, RN, MSN-HCSM

  • Administrator Registered Nurse
  • Atlanta, GA
National Provider Identifier
1316533409
Registry record updated Dec 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Administrator Registered NurseTaxonomy code 163WA2000X
License
RN208747 Issued in GA
Practice address
3525 Piedmont Rd NE Ste 620
Atlanta, GA 30305-1578
Phone
(470) 512-0375
NPI assigned
Dec 14, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Administrator Registered Nurse 163WA2000X RN208747 GA Primary

Addresses

Primary practice location

3525 Piedmont Rd NE Ste 620
Atlanta, GA 30305-1578

Mailing address

3525 Piedmont Rd NE Ste 620
Atlanta, GA 30305-1578
Phone (470) 512-0375

Other names 1

  • Ms. Karen Ann Blackwell Former name

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN208747GAMDAdministrator Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Care Pediatrics of Florida, LLC CurrentSince Jul 31, 2023 Accepting new patients

Locations

3525 Piedmont Rd NE
Ste 620
Atlanta, GA 30305
Phone (404) 835-3512

Organizations & group practices 1

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": "1607904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607904000000",
    "number": "1316533409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3525 PIEDMONT RD NE STE 620",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303051578",
            "telephone_number": "470-512-0375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3525 PIEDMONT RD NE STE 620",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303051578",
            "telephone_number": "470-512-0375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORONICK",
        "first_name": "KAREN",
        "middle_name": "BLACKWELL",
        "credential": "RN, MSN-HCSM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-14",
        "last_updated": "2020-12-14",
        "certification_date": "2020-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "GA",
            "license": "RN208747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "BLACKWELL",
            "middle_name": "ANN",
            "prefix": "MS.",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.

Verify at the official NPI Registry.