Individual provider Active NPI

Vicki Karen Karnes, R.N.

  • Registered Nurse
  • Atlanta, GA
National Provider Identifier
1366810426
Registry record updated Sep 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN203896 Issued in GA
Practice address
265 Boulevard NE
4TH Floor Attn: Pat Jackson
Atlanta, GA 30312-1208
Phone
(404) 312-5079
Fax
(404) 982-0661
NPI assigned
Sep 7, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN203896 GA Primary

Addresses

Primary practice location

265 Boulevard NE
4TH Floor Attn: Pat Jackson
Atlanta, GA 30312-1208

Mailing address

265 Boulevard NE
4TH Floor - Attn: Pat Jackson
Atlanta, GA 30312-1208
Phone (404) 312-5079

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)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN203896GAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1441584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442448000000",
    "number": "1366810426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 BOULEVARD NE",
            "address_2": "4TH FLOOR - ATTN: PAT JACKSON",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303121208",
            "telephone_number": "404-312-5079",
            "fax_number": "404-982-0661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 BOULEVARD NE",
            "address_2": "4TH FLOOR ATTN: PAT JACKSON",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303121208",
            "telephone_number": "404-312-5079",
            "fax_number": "404-982-0661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARNES",
        "first_name": "VICKI",
        "middle_name": "KAREN",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-07",
        "last_updated": "2015-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN203896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2015; 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.