Karen Larissa Williams, APRN

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

109297 Issued in OK

Practice address

3100 S Elm PL Ste B
Broken Arrow, OK 74012-7950

Phone

(918) 884-7800

NPI assigned

Jun 12, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Karen Larissa Manar Former name

Medicare fee-for-service enrollment

Enrolled in OK

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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cleveland Area Hospital AuthorityGroup PAC ID 3476615733, 6 clinicians

Practice addresses (Care Compare)

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.

• Cleveland Area Hospital Holdings, Inc.

  • Emergency Medical Services (Emergency Medicine) Physician
  • Cleveland, OK
  • NPI 1801020565
  Medicare reassignment NPD
• Healogics Specialty Physicians of Oklahoma, PLLC

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Lawton, OK
  • NPI 1144625740
  Medicare reassignment NPD
• Cleveland Area Hospital Holdings, Inc.

  • Critical Access Hospital
  • Cleveland, OK
  • NPI 1427295872
  Medicare reassignment
• Cleveland Area Hospital Holdings, Inc.

  • Rural Health Clinic/Center
  • Cleveland, OK
  • NPI 1588160774
  NPD

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

{
    "created_epoch": "1528761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528761600000",
    "number": "1326531690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13408 S 20TH CT",
            "city": "BIXBY",
            "state": "OK",
            "postal_code": "740081029",
            "telephone_number": "904-735-7749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 S ELM PL STE B",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740127950",
            "telephone_number": "918-884-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "KAREN",
        "middle_name": "LARISSA",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-12",
        "last_updated": "2018-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "OK",
            "license": "109297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "MANAR",
            "middle_name": "LARISSA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Angela Nicole Williams
• Bobbie Williams
• Donna Phillips Williams, ARNP
• Jenna Williams
• Kacee Don Williams, D.PH.
• Kayla Williams
• Shandria Williams
• Misty L Williamson, COTA/L
• Kenneth Wills
• Jonathan Willson

• Acute Care Nurse Practitioner in Broken Arrow, OK
• Providers in Broken Arrow, OK by specialty
• Acute Care Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.