Karen Lillian Bishop, FNP
Individual provider Active NPI Family Nurse Practitioner · Winslow, AZ
NPI 1407286156 · NPPES record last updated Feb 28, 2019
Key facts
- NPI
- 1407286156
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- AP11650 (AZ)
- Practice address
- 620 Lee St
Winslow, AZ 86047 - Phone
- (928) 288-8700
- Fax
- (928) 289-0036
- NPI assigned
- Nov 16, 2013
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0921272 | FL | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Karen Lillian Bishop | Multi-Specialty | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 0921272 | FL | |
| Family Nurse Practitioner |
363LF0000X | AP11650 | AZ | Yes |
Addresses
Primary practice location
620 Lee St
Winslow, AZ 86047
Mailing address
PO Box 3630
Flagstaff, AZ 86003-3630
Phone (928) 522-9879
Other practice location 1
1274 W Frangipani Cir
Lantana, FL 33462-5108
Phone (772) 324-1805
Other practice location 2
620 Lee St
Winslow, AZ 86047
Phone (928) 288-8700
Other providers in Winslow, AZ
- Joann Benally
- Davison J Benton
- Philana Nikita Betoney
- Subhash Chander Bhardwaj
- Bio-Medical Applications of Arizona, LLC
- Elizabeth A. Blackgoat
- Darrin Blackman
- Karen M Blackwell
- Christy Lonnette Blissett
- Robin Robert Boyd
All providers in Winslow, AZ · Family Nurse Practitioner in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 28, 2019. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.