Individual provider Active NPI

Karen Roy, NP

  • Gerontology Nurse Practitioner
  • Middletown, CT
National Provider Identifier
1427238500
Registry record updated Dec 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
3719 Issued in CT
Practice address
1000 Silver Street
Middletown, CT 06475-4214
Phone
(860) 262-5140
Fax
(860) 262-6525
NPI assigned
Nov 6, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 3719 CT Primary

Addresses

Primary practice location

1000 Silver Street
Middletown, CT 06475-4214

Mailing address

28 Crescent St
Middletown, CT 06457-3650
Phone (860) 235-5375

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20080305000100 CT Practitioner - Nurse Practitioner 5597840272 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
3719CTMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Step Up Care PC LLC CurrentSince Dec 4, 2021 Accepting new patients
State of Connecticut CurrentSince Dec 4, 2023 Accepting new patients
State of Connecticut CurrentSince Dec 4, 2023 Accepting new patients

Locations

450 Columbus Blvd
Ste 1001
Hartford, CT 06103

34 Wildwood Ave
Madison, CT 06443
Phone (203) 245-8008

169 Davenport Ave
New Haven, CT 06519
Phone (203) 789-1650

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1194307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701388800000",
    "number": "1427238500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 CRESCENT ST",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064573650",
            "telephone_number": "860-235-5375",
            "fax_number": "860-262-6525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 SILVER STREET",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064754214",
            "telephone_number": "860-262-5140",
            "fax_number": "860-262-6525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROY",
        "first_name": "KAREN",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-06",
        "last_updated": "2023-12-01",
        "certification_date": "2023-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CT",
            "license": "3719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, CT

Sources for this page

Verify at the official NPI Registry.