Karen Neurology PLC

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

Legal business name

KAREN NEUROLOGY PLC

Doing business as

Karen Neurology PLC

Practice address

1016 W University Ave Ste 206
Flagstaff, AZ 86001-2996

Phone

(928) 266-1530

NPI assigned

Jul 3, 2023

Last updated

Oct 2, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Amanda Iris Chaconas, DNP, AGPCNP-BCNPI 1467701664

Title

NP/Owner

Phone

(928) 607-0815

Specialties & licenses 1

Addresses

Other names 1

• Karen Neurology PLC Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amanda Iris Chaconas, DNP

  • Gerontology Nurse Practitioner
  • Flagstaff, AZ
  • NPI 1467701664
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1688342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727827200000",
    "number": "1407533219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 S O LEARY ST",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860015829",
            "telephone_number": "928-607-0815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 W UNIVERSITY AVE STE 206",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860012996",
            "telephone_number": "928-266-1530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAREN NEUROLOGY PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-03",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A",
        "authorized_official_last_name": "CHACONAS",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "IRIS",
        "authorized_official_title_or_position": "NP/OWNER",
        "authorized_official_telephone_number": "928-607-0815",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, AGPCNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Karen Neurology PLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Karen Neurology PLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Daniel Ernest Kaminskas, MD
• Julie Anne Kaminskas, PH.D
• Debra E. Kamzelski, R.N/
• Alisyn Rae Kandybowicz, CCC-SLP
• Kara Tate Physical Therapy, LLC
• Dee Ann Kaserer, FNP
• Meagan E Kasprzyk
• Samantha Kasprzyk, OTD, OTR/L
• Edward Charles Kauffman, MD
• Isac Kautto, NOMC

• Gerontology Nurse Practitioner in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Gerontology Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.