Active NPI
Karen Sue Withers, RN
- Ambulatory Care Registered Nurse
- Bethesda, MD
National Provider Identifier
1386085199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Care Registered Nurse
- License
- RN-63111
- Practice address
- 4301 Jones Bridge Rd
Bethesda, MD 20814-4799 - Phone
- (301) 295-9561
- NPI assigned
- Jul 9, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical-Surgical Registered Nurse | 163WM0705X | RN-63111 | HI | |
| Ambulatory Care Registered Nurse | 163WP2201X | RN-63111 | HI | Primary |
Addresses
Primary practice location
4301 Jones Bridge Rd
Bethesda, MD 20814-4799
Mailing address
4301 Jones Bridge Rd
Bethesda, MD 20814-4799
Phone (301) 295-9561
Other practice location 1
USA MEDDAC Bavaria
CMR 411, Bldg 700, Rose Barracks
Apo, AE 09112
Phone 499662834719
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| VADOO | Other | UPIN |
Other names 1
- Karen Sue Martin
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
| License | State | Type | Specialty |
|---|---|---|---|
| RN-63111 | HI | MD | Ambulatory Care Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572912000000",
"number": "1386085199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4301 JONES BRIDGE RD",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208144799",
"telephone_number": "301-295-9561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4301 JONES BRIDGE RD",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208144799",
"telephone_number": "301-295-9561"
}
],
"practiceLocations": [
{
"address_1": "USA MEDDAC Bavaria",
"address_2": "CMR 411, Bldg 700, Rose Barracks",
"address_purpose": "LOCATION",
"city": "APO",
"state": "AE",
"postal_code": "09112",
"country_code": "US",
"telephone_number": "499662834719",
"fax_number": "499662834721",
"country_name": "United States",
"address_type": "MIL"
}
],
"basic": {
"last_name": "WITHERS",
"first_name": "KAREN",
"middle_name": "SUE",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-09",
"last_updated": "2019-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "163WM0705X",
"taxonomy_group": "",
"desc": "Registered Nurse, Medical-Surgical",
"state": "HI",
"license": "RN-63111",
"primary": false
},
{
"code": "163WP2201X",
"taxonomy_group": "",
"desc": "Registered Nurse, Ambulatory Care",
"state": "HI",
"license": "RN-63111",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPIN",
"identifier": "VADOO",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KAREN",
"last_name": "MARTIN",
"middle_name": "SUE",
"credential": "RN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.