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
Hospital & facility affiliations 2
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
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
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| San Carlos Apache Healthcare Corporation | Current | Accepting new patients | |
| San Carlos Apache Healthcare Corporation | Current |
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01147940 | Other | NH | RAILROAD MEDICARE |
| 3072192 | Medicaid | NH | |
| 30349180 | Medicaid | NH |
NPI Registry JSON
{
"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
- Lauren Alexander
- Maryssa A Allen
- Aphazone Unit, LLC
- Apollo Medical Group of Portsmouth PLLC
- Appledore Medical Group Dba Woodbury Family Practice
All providers in Newington, NH · Family Nurse Practitioner in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 7, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.