Karen Jeanne Jennings, CRNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

R086520 Issued in MD

Practice address

6085 Marshalee Dr Ste 110
Elkridge, MD 21075-6023

Phone

(410) 379-3528

Fax

(410) 379-3590

NPI assigned

Jan 20, 2007

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

Medicare fee-for-service enrollment

Enrolled in MD

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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.

• Five Star Physician Services, LLC

  • Internal Medicine Physician
  • Linthicum Heights, MD
  • NPI 1083654479
  Medicare reassignment

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

{
    "created_epoch": "1169251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619020765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8740 DOVES FLY WAY",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207231250",
            "telephone_number": "410-423-0989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6085 MARSHALEE DR STE 110",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "210756023",
            "telephone_number": "410-379-3528",
            "fax_number": "410-379-3590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENNINGS",
        "first_name": "KAREN",
        "middle_name": "JEANNE",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MD",
            "license": "R086520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elisabeth Jakobsen, PT
• Omid Janloo, D.D.S.
• Noor Javed, BCBA
• Tia Denise Jeffery, PHD, RDN
• Jenn Fredette Psychotherapy LLC
• Jessup Dental Associates T/a Blank Rivera PA
• Johns Hopkins Regional Physicians LLC
• Darius Timothy Johnson
• Kristina Johnson, LMSW, QMHP-A
• Linda M. Jones-Laper, DDS

• Adult Health Nurse Practitioner in Elkridge, MD
• Providers in Elkridge, MD by specialty
• Adult Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.