Individual provider Active NPI

Kara Rambo, CPNP

  • Pediatric Nurse Practitioner
  • Farmington, MI
National Provider Identifier
1356852065
Registry record updated Oct 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
4704254110 Issued in MI
Practice address
23133 Orchard Lake Rd Ste 100
Farmington, MI 48336-3278
Phone
(248) 477-0100
NPI assigned
Oct 20, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 4704254110 MI Primary

Addresses

Primary practice location

23133 Orchard Lake Rd Ste 100
Farmington, MI 48336-3278

Mailing address

921 Sutherland St
Plymouth, MI 48170-2039

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)
Enrolled
Credentials
Certified Pediatric Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704254110MIMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Serenity Pediatrics Past Accepting new patients
Botsford General Hospital Past Accepting new patients
Oakland Physical Medicine PC Past Accepting new patients
Serenity Doctors PC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: kara.rambo@serenitypeds.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/IFFHAD

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": "1508457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508457600000",
    "number": "1356852065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 SUTHERLAND ST",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481702039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23133 ORCHARD LAKE RD STE 100",
            "city": "FARMINGTON",
            "state": "MI",
            "postal_code": "483363278",
            "telephone_number": "248-477-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMBO",
        "first_name": "KARA",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-20",
        "last_updated": "2017-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MI",
            "license": "4704254110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2017; 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.