Karen Dyan Impson, DO

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

4300 Issued in AK

Practice address

3719 E Meridian Loop
Suite D
Wasilla, AK 99654-7270

Phone

(907) 373-7337

Fax

(907) 357-9029

NPI assigned

Aug 29, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• Adventures in Pediatrics, LLC

  • Pediatrics Physician
  • Wasilla, AK
  • NPI 1326306150
  NPD (past) Authorized official

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1427167113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3719 E MERIDIAN LOOP",
            "address_2": "SUITE D",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547270",
            "telephone_number": "907-373-7337",
            "fax_number": "907-357-9029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3719 E MERIDIAN LOOP",
            "address_2": "SUITE D",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547270",
            "telephone_number": "907-373-7337",
            "fax_number": "907-357-9029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IMPSON",
        "first_name": "KAREN",
        "middle_name": "DYAN",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AK",
            "license": "4300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD10661",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ideal Option, PLLC
• Esme L Imgrund
• Immediate Care Inc.
• Impakt Performance Medicine LLC
• Impavid Mental Health LLC
• Inclusive Care LLC
• Heather Ingram
• Lakeisha Ingram
• Patricia Therese Inks
• Innate Wellness & Massage LLC

• Pediatrics Physician in Wasilla, AK
• Providers in Wasilla, AK by specialty
• Pediatrics Physician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.