Individual provider Active NPI

Karen Last, NURSE PRACTITIONER P

  • Psychiatric/Mental Health Nurse Practitioner
  • Riverside, RI
National Provider Identifier
1396493243
Registry record updated Mar 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN03028 Issued in RI
Practice address
610 Wampanoag TRL
Riverside, RI 02915-1504
Phone
(401) 431-9870
NPI assigned
Mar 10, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN2295628 MA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN03028 RI Primary

Addresses

Primary practice location

610 Wampanoag TRL
Riverside, RI 02915-1504

Mailing address

PO Box 25
Raynham Center, MA 02768-0025

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230206001840 RI Practitioner - Nurse Practitioner 2769854447 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Bay Community Action Program 36 clinicians

Practice addresses (Care Compare)

100 Bullocks Point
Riverside, RI 02915-5351

100 Bullocks Point Ave
Riverside, RI 02915-5351
Phone (401) 437-1008

100 Bullocks Point Ave
Riverside, RI 02915-5397

610 Wampanoag TRL
Riverside, RI 02915-1504
Phone (401) 431-9870

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN2295628MAMDRegistered Nurse
APRN03028RIMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
East Bay Community Action Program CurrentSince Jan 1, 2023 Accepting new patients
East Bay Community Action Program Current Accepting new patients
East Bay Community Action Program CurrentSince Jan 1, 2023 Accepting new patients
East Bay Community Action Program Past Accepting new patients

Locations

2 Old County Rd
Barrington, RI 02806
Phone (401) 246-1195

19 Broadway
Newport, RI 02840
Phone (401) 845-0564

6 John H Chafee Blvd
Newport, RI 02840
Phone (401) 239-1208

100 Bullocks Point Ave
Riverside, RI 02915
Phone (401) 437-1000

610 Wampanoag Trl
Riverside, RI 02915
Phone (401) 431-9870

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1646870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678924800000",
    "number": "1396493243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25",
            "city": "RAYNHAM CENTER",
            "state": "MA",
            "postal_code": "027680025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 WAMPANOAG TRL",
            "city": "RIVERSIDE",
            "state": "RI",
            "postal_code": "029151504",
            "telephone_number": "401-431-9870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAST",
        "first_name": "KAREN",
        "credential": "NURSE PRACTITIONER P",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-10",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2295628",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "RI",
            "license": "APRN03028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, RI

Sources for this page

Verify at the official NPI Registry.