Karen L Adams, APRN FNP-BC MSN CDE

Individual provider Active NPI Family Nurse Practitioner · Newington, NH

NPI 1366680787 · NPPES record last updated Dec 7, 2016

Key facts

NPI
1366680787
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
036087-23 (NH)
Practice address
2299 Woodbury Ave
Ste 4-1
Newington, NH 03801-7854
Phone
(603) 610-7900
Fax
(844) 871-3494
NPI assigned
Jan 22, 2009
Sex
Female
Sole proprietor
No

Organizations & group practices 5

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
San Carlos Apache Healthcare Corporation (147 clinicians)

Practice addresses (Care Compare)

103 Medicine Way Rd
Peridot, AZ 85542-0787
Phone (928) 475-1400

P O Box
Suite 787
Peridot, AZ 85542-0787

PO Box
Suite 787
Peridot, AZ 85542-0787

Hospital & facility affiliations

  • San Carlos Apache Healthcare Corporation Hospital · Peridot, AZ · CCN 031320

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in AZ, TX
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20190311002559 AZ Practitioner - Nurse Practitioner 4587830294 Reassigns benefits to 1 organization
I20200629002761 TX Practitioner - Nurse Practitioner 4587830294 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
San Carlos Apache Healthcare Corporation Current Accepting new patients
San Carlos Apache Healthcare Corporation Current
since May 21, 2020
Accepting new patients

Locations

103 Medicine Way Rd
Peridot, AZ 85542
Phone (928) 475-1200

101 Medicine Way Rd
Peridot, AZ 85542

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Diabetes Educator Registered Nurse 163WD0400X 036087-21 NH
Family Nurse Practitioner 363LF0000X 036087-23 NH Yes

Addresses

Primary practice location

2299 Woodbury Ave
Ste 4-1
Newington, NH 03801-7854

Mailing address

2299 Woodbury Ave Ste 4-1
Newington, NH 03801-7831
Phone (603) 610-7900

Other identifiers

IdentifierTypeStateIssuer
P01147940OtherNHRAILROAD MEDICARE
3072192MedicaidNH
30349180MedicaidNH

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 7, 2016.

{
    "created_epoch": "1232582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481068800000",
    "number": "1366680787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2299 WOODBURY AVE STE 4-1",
            "city": "NEWINGTON",
            "state": "NH",
            "postal_code": "038017831",
            "telephone_number": "603-610-7900",
            "fax_number": "844-871-3494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2299 WOODBURY AVE",
            "address_2": "STE 4-1",
            "city": "NEWINGTON",
            "state": "NH",
            "postal_code": "038017854",
            "telephone_number": "603-610-7900",
            "fax_number": "844-871-3494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "KAREN",
        "middle_name": "L",
        "credential": "APRN FNP-BC MSN CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-22",
        "last_updated": "2016-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "NH",
            "license": "036087-21",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "036087-23",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01147940",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3072192",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30349180",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newington, NH

All providers in Newington, NH · Family Nurse Practitioner in New Hampshire

Sources for this page

Verify at the official NPI Registry.