Individual provider Active NPI

Karen Ann Henderson, FNP-C

  • Family Nurse Practitioner
  • Scottsdale, AZ
National Provider Identifier
1467791236
Registry record updated Oct 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP4848 Issued in AZ
Practice address
8328 E. Hartford Dr.
Scottsdale, AZ 85255
Phone
(480) 214-9720
Fax
(480) 214-9722
NPI assigned
Feb 13, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP4848 AZ Primary

Addresses

Primary practice location

8328 E. Hartford Dr.
Scottsdale, AZ 85255

Mailing address

8328 E. Hartford Dr.
Scottsdale, AZ 85255
Phone (480) 214-9720

Other identifiers 1

IdentifierTypeStateIssuer
796643MedicaidAZ

Other names 1

  • Karen Ann Smith Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20130424000633 AZ Practitioner - Nurse Practitioner 3274779095 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kmtrask PLLCGroup PAC ID 8921386483, 15 clinicians

Practice addresses (Care Compare)

2200 E Williams Field Rd
Suite 200
Gilbert, AZ 85295-0764
Phone (480) 452-3399

Hospital & facility affiliations

  • Canyon Home Care & Hospice Home health agency, Gilbert, AZ, CCN 037418
  • Suncrest Hospice Phoenix, LLC Hospice, Phoenix, AZ, CCN 031654

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP4848AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Scottsdale Physicians Group PLC CurrentSince Mar 2, 2013 Accepting new patients
Kmtrask, PLLC Nurse Practitioner CurrentSince Apr 1, 2023 Accepting new patients
Higley Healthcare, Inc. Past Accepting new patients

Locations

2200 E Williams Field Rd
Ste 200
Gilbert, AZ 85295
Phone (480) 452-3399

7975 N Hayden Rd
Ste D354
Scottsdale, AZ 85258
Phone (480) 214-9720

8328 E Hartford Dr
Scottsdale, AZ 85255
Phone (480) 214-9720

Interoperability endpoints

  • Direct secure messaging: karen.henderson@71082555932676.direct.elationemr.com

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1360713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414540800000",
    "number": "1467791236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8328 E. HARTFORD DR.",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "85255",
            "telephone_number": "480-214-9720",
            "fax_number": "480-214-9722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8328 E. HARTFORD DR.",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "85255",
            "telephone_number": "480-214-9720",
            "fax_number": "480-214-9722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "KAREN",
        "middle_name": "ANN",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-13",
        "last_updated": "2014-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP4848",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "796643",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "SMITH",
            "middle_name": "ANN",
            "credential": "FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.