Active NPI
Karen Marie Baudouine, BSN
- School Registered Nurse
- Bullhead City, AZ
National Provider Identifier
1508065723
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Registered Nurse
- License
- RN094657
- Practice address
- 3101 Desert Sky Dr
Bullhead City, AZ 86442-8684 - Phone
- (928) 704-2500
- Fax
- (928) 704-2504
- NPI assigned
- Jul 17, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | RN094657 | AZ | Primary |
Addresses
Primary practice location
3101 Desert Sky Dr
Bullhead City, AZ 86442-8684
Mailing address
1004 Hancock Rd
Bullhead City, AZ 86442-5946
Phone (928) 704-2500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 588163 | Other | AZ | AHCCCS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor on Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN094657 | AZ | MD | School Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184630400000",
"number": "1508065723",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1004 HANCOCK RD",
"city": "BULLHEAD CITY",
"state": "AZ",
"postal_code": "864425946",
"telephone_number": "928-704-2500",
"fax_number": "928-704-2504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3101 DESERT SKY DR",
"city": "BULLHEAD CITY",
"state": "AZ",
"postal_code": "864428684",
"telephone_number": "928-704-2500",
"fax_number": "928-704-2504"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAUDOUINE",
"first_name": "KAREN",
"middle_name": "MARIE",
"name_prefix": "Miss",
"credential": "BSN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-17",
"last_updated": "2007-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "163WS0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, School",
"state": "AZ",
"license": "RN094657",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AHCCCS",
"identifier": "588163",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bullhead City, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.