Karen Lynne Adams, CRNP

Individual provider Active NPI Family Nurse Practitioner · Fairhope, AL

NPI 1619202082 · NPPES record last updated Aug 3, 2010

Key facts

NPI
1619202082
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
1-067531 (AL)
Practice address
770 Middle St Ste B
Fairhope, AL 36532-1766
Phone
(251) 928-1191
Fax
(251) 928-4529
NPI assigned
Oct 2, 2009
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20101101000573 AL Practitioner - Nurse Practitioner 3678767985

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Certified Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-067531 AL Yes

Addresses

Primary practice location

770 Middle St Ste B
Fairhope, AL 36532-1766

Mailing address

770 Middle St Ste B
Fairhope, AL 36532-1766
Phone (251) 928-1191

Other providers in Fairhope, AL

All providers in Fairhope, AL · Family Nurse Practitioner in Alabama

Sources for this page

Verify at the official NPI Registry.