Organization Active NPI

Christine Karell PC Llo

  • Psychiatric/Mental Health Nurse Practitioner
  • Alliance, NE
National Provider Identifier
1336693498
Registry record updated Aug 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
110591 Issued in NE
Legal business name
CHRISTINE KARELL PC LLO
Practice address
815 Flack Ave
Alliance, NE 69301-2722
Phone
(308) 762-2723
Fax
(308) 217-4277
NPI assigned
Aug 6, 2016
Last updated
Aug 6, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2016

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

Authorized official

Name
Deborah Senior
Title
Billing Admin
Phone
(308) 762-2723

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 110591 NE Primary

Addresses

Primary practice location

815 Flack Ave
Alliance, NE 69301-2722

Mailing address

815 Flack Ave
Alliance, NE 69301-2722
Phone (308) 762-2723

Other identifiers 3

IdentifierTypeStateIssuer
10025785200MedicaidNE
10025776200MedicaidNE
10025785000MedicaidNE

National Provider Directory

National Provider Directory
Tax ID family
Christine Karell PC Llo2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1470441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470441600000",
    "number": "1336693498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 FLACK AVE",
            "city": "ALLIANCE",
            "state": "NE",
            "postal_code": "693012722",
            "telephone_number": "308-762-2723",
            "fax_number": "308-217-4277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 FLACK AVE",
            "city": "ALLIANCE",
            "state": "NE",
            "postal_code": "693012722",
            "telephone_number": "308-762-2723",
            "fax_number": "308-217-4277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTINE KARELL PC LLO",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-06",
        "last_updated": "2016-08-06",
        "status": "A",
        "authorized_official_last_name": "SENIOR",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "BILLING ADMIN",
        "authorized_official_telephone_number": "308-762-2723"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NE",
            "license": "110591",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025785200",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025776200",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025785000",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alliance, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2016; 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.