Active NPI
Karen Wisby, ARNP
- Family Nurse Practitioner
- St Petersburg, FL
National Provider Identifier
1578694832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- ARNP1457132
- Practice address
- 5798 38TH Avenue North
St. Petersburg, FL 33710 - Phone
- (727) 384-0192
- Fax
- (727) 384-1500
- NPI assigned
- Mar 8, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | ARNP1457132 | FL | Primary |
Addresses
Primary practice location
5798 38TH Avenue North
St. Petersburg, FL 33710
Mailing address
14690 Spring Hill Dr Ste 101
Spring Hill, FL 34609-8102
Phone (352) 799-0046
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 308214800 | Other | FL | MEDIPASS |
| 15606901 | Other | FL | CITRUS-49TH STREET |
| 15606902 | Other | FL | CITRUS-PASADENA AVE S |
| P00441591 | Other | FL | RAILROAD MEDICARE |
| 1063472 | Other | FL | CAREPLUS |
| 308214800 | Medicaid | FL | |
| Y116T | Other | FL | BLUE CROSS BLUE SHIELD OF FL |
| 15606903 | Other | FL | CITRUS-WEST BAY |
| P06060 | Other | FL | FREEDOM HEALTH |
| 3082148 | Other | FL | MEDIPASS |
| 308246 | Other | FL | AVMED |
Other names 1
- Karen Kaye Adkins
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)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Your Care Clinics LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Largo, FL
- NPI 1174780589
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1578694832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14690 SPRING HILL DR STE 101",
"city": "SPRING HILL",
"state": "FL",
"postal_code": "346098102",
"telephone_number": "352-799-0046",
"fax_number": "352-606-2857"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5798 38TH AVENUE NORTH",
"city": "ST. PETERSBURG",
"state": "FL",
"postal_code": "33710",
"telephone_number": "727-384-0192",
"fax_number": "727-384-1500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WISBY",
"first_name": "KAREN",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-08",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "ARNP1457132",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDIPASS",
"identifier": "308214800",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CITRUS-49TH STREET",
"identifier": "15606901",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CITRUS-PASADENA AVE S",
"identifier": "15606902",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00441591",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREPLUS",
"identifier": "1063472",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "308214800",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD OF FL",
"identifier": "Y116T",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CITRUS-WEST BAY",
"identifier": "15606903",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FREEDOM HEALTH",
"identifier": "P06060",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDIPASS",
"identifier": "3082148",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AVMED",
"identifier": "308246",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KAREN",
"last_name": "ADKINS",
"middle_name": "KAYE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.