Active NPI
Karen L Mackichan, M.D.
- Nephrology Physician
- Tucson, AZ
National Provider Identifier
1386703114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 00026861
- Practice address
- 3601 S 6TH Ave
1-11C
Tucson, AZ 85723-0001 - Phone
- (520) 792-1450
- Fax
- (520) 629-4976
- NPI assigned
- Dec 7, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 00026861 | WA | Primary |
Addresses
Primary practice location
3601 S 6TH Ave
1-11C
Tucson, AZ 85723-0001
Mailing address
3601 S 6TH Ave
1-11C
Tucson, AZ 85723-0001
Phone (520) 792-1450
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110544 | Medicaid | WA |
Other names 1
- Karen L Harrison
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00026861 | WA | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| J. Hamilton Licht, M.D., P.C. | Nephrology | Past | Accepting new patients |
| Karen L. Harrison, M.D. P.S., Inc. | Nephrology | Past | Accepting new patients |
| Pacific Vascular Incorporated | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Nephrology Associates of Yakima
- Nephrology Physician
- Yakima, WA
- NPI 1306905138
-
- Nephrology Physician
- Yakima, WA
- NPI 1639590169
-
- Physiological Laboratory
- Port Ludlow, WA
- NPI 1336019314
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467676800000",
"number": "1386703114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3601 S 6TH AVE",
"address_2": "1-11C",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857230001",
"telephone_number": "520-792-1450",
"fax_number": "520-629-4976"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3601 S 6TH AVE",
"address_2": "1-11C",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857230001",
"telephone_number": "520-792-1450",
"fax_number": "520-629-4976"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACKICHAN",
"first_name": "KAREN",
"middle_name": "L",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-07",
"last_updated": "2016-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "WA",
"license": "00026861",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110544",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KAREN",
"last_name": "HARRISON",
"middle_name": "L",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.