Kristine Antonelli Karlsen, PHD, APRN

Primary specialty

Critical Care Neonatal Nurse PractitionerTaxonomy code 363LN0005X

License

215065-4405 Issued in UT

Practice address

9033 Flint Way
Park City, UT 84098-5851

Phone

(435) 731-0091

NPI assigned

Dec 26, 2007

Last updated

Jul 9, 2009By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1198627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247097600000",
    "number": "1336323336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N MEDICAL DR",
            "address_2": "NICU",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841131103",
            "telephone_number": "435-731-0091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9033 FLINT WAY",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840985851",
            "telephone_number": "435-731-0091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARLSEN",
        "first_name": "KRISTINE",
        "middle_name": "ANTONELLI",
        "name_prefix": "Dr.",
        "credential": "PHD, APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-26",
        "last_updated": "2009-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LN0005X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal, Critical Care",
            "state": "UT",
            "license": "215065-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joanna Clarice Kahn, PT
• Alexander John Kalke, AGACNP
• Karen Stolman MD PC (Park City Dermatology, Associates)
• Karen W. Malm, PH.D., P.C.
• Karlina Howell PLLC
• Felicia R Katz, M.D.
• Kaitlyn Kaufman
• Julie Kavas, RD, RDN
• Mona Kazemi, OTD, OTR/L
• Lucas Ryan Keck, PA-C

• Critical Care Neonatal Nurse Practitioner in Park City, UT
• Providers in Park City, UT by specialty
• Critical Care Neonatal Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2009; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.