Individual provider Active NPI

Karen M Norris, APRN

  • Pediatric Nurse Practitioner
  • St John, KS
National Provider Identifier
1659336980
Registry record updated Mar 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
44371 Issued in KS
Practice address
1247 NW 30TH Ave
St John, KS 67576-8696
Phone
(620) 792-9941
NPI assigned
Apr 19, 2006
Last updated
Mar 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 44371 KS Primary

Addresses

Primary practice location

1247 NW 30TH Ave
St John, KS 67576-8696

Mailing address

1247 NW 30TH Ave
St John, KS 67576-8696
Phone (620) 792-9941

Other identifiers 2

IdentifierTypeStateIssuer
200269390AMedicaidKS
044845OtherKSBLUE CROSS INDIV PROV NO

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

NPI Registry JSON

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711065600000",
    "number": "1659336980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1247 NW 30TH AVE",
            "city": "ST JOHN",
            "state": "KS",
            "postal_code": "675768696",
            "telephone_number": "620-792-9941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1247 NW 30TH AVE",
            "city": "ST JOHN",
            "state": "KS",
            "postal_code": "675768696",
            "telephone_number": "620-792-9941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORRIS",
        "first_name": "KAREN",
        "middle_name": "M",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-19",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "KS",
            "license": "44371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200269390A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS INDIV PROV NO",
            "identifier": "044845",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St John, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2024; 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.