Individual provider Active NPI

Karena Janiece Herron, N.P

  • Family Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1578082392
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP10580 Issued in AZ
Practice address
13625 S 48TH St Apt 2100
Phoenix, AZ 85044
Phone
(602) 614-1969
NPI assigned
Sep 13, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 AP10580 AZ Primary

Addresses

Primary practice location

13625 S 48TH St Apt 2100
Phoenix, AZ 85044

Mailing address

13625 S 48TH St Apt 2100
Phoenix, AZ 85044-5065
Phone (602) 614-1969

Other names 1

  • Karena Mondesir Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20180215001769 WA Practitioner - Nurse Practitioner 9436419256 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP10580AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dispatchhealth Washington PC CurrentSince Feb 1, 2023 Accepting new patients
Sunnyside Community Hospital Association Family CurrentSince Feb 1, 2018 Accepting new patients
Multicare Health System Current Accepting new patients
Dispatchhealth Advanced Care - Washington PC CurrentSince Feb 1, 2023 Accepting new patients
Multicare Health System CurrentSince May 26, 2020 Accepting new patients
Providence Health & Services - Washington CurrentSince Mar 1, 2024 Accepting new patients
Multicare Health System CurrentSince May 26, 2020 Accepting new patients
Providence Health & Services- Washington CurrentSince Mar 1, 2024 Accepting new patients
Sunnyside Community Hospital Association CurrentSince Feb 1, 2018 Accepting new patients
Sunnyside Community Hospital Association Current Accepting new patients

Locations

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

6912 220th St SW
Ste 113
Mountlake Terrace, WA 98043
Phone (425) 361-7670

4112 Harbour Pointe Blvd SW
Ste 100
Mukilteo, WA 98275
Phone (425) 347-6330

355 Chardonnay Ave
Prosser, WA 99350
Phone (509) 781-6366

1411 4th Ave
Seattle, WA 98101
Phone (253) 271-9720

920 N Argonne Rd
Ste 115
Spokane Valley, WA 99212
Phone (509) 408-2107

1016 Tacoma Ave
Sunnyside, WA 98944
Phone (509) 823-6682

2925 Allen Rd
Sunnyside, WA 98944
Phone (509) 837-4949

2705 E Lincoln Ave
Sunnyside, WA 98944
Phone (509) 836-4848

6240 Tacoma Mall Blvd
Ste 101
Tacoma, WA 98409
Phone (253) 271-9720

311 S L St
Tacoma, WA 98405
Phone (253) 403-1444

Organizations & group practices 11

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": "1505260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1578082392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13625 S 48TH ST APT 2100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850445065",
            "telephone_number": "602-614-1969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13625 S 48TH ST APT 2100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85044",
            "telephone_number": "602-614-1969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRON",
        "first_name": "KARENA",
        "middle_name": "JANIECE",
        "credential": "N.P",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-13",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP10580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KARENA",
            "last_name": "MONDESIR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.