Karen Wilkes

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

6906685 Issued in FL

Practice address

664 Orange Court
Rockledge, FL 32955

Phone

(321) 208-0245

Fax

(321) 406-0926

NPI assigned

Oct 30, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1414627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414627200000",
    "number": "1609271899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "664 ORANGE CT",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329552413",
            "telephone_number": "321-208-0245",
            "fax_number": "321-506-0926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "664 ORANGE COURT",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "32955",
            "telephone_number": "321-208-0245",
            "fax_number": "321-406-0926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKES",
        "first_name": "KAREN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-30",
        "last_updated": "2014-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "FL",
            "license": "6906685",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6906685",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADULT FAMILY CARE HOME",
            "identifier": "6906685",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allison Widmayer
• Denise Wiedeman, OTR
• Christopher J Wiedemann
• Elizabeth Marian Wilder, LMHC
• Cassandra Wilkerson
• Jasmyn Willaims
• Arriette William
• Rachel Ruth William
• Belinda Ann Williams, BA
• Jacinta Jean Williams

• Community Health Worker in Rockledge, FL
• Providers in Rockledge, FL by specialty
• Community Health Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.