Individual provider Active NPI

Karen N Tudahl, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Minot, ND
National Provider Identifier
1659707610
Registry record updated Nov 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R29260 Issued in ND
Practice address
24 Main St N
Ste E
Minot, ND 58703-3104
Phone
(701) 394-5026
Fax
(701) 516-8026
NPI assigned
Sep 23, 2013
Last updated
Nov 10, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R29260 ND Primary
Registered Nurse 163W00000X R29260 ND

Addresses

Primary practice location

24 Main St N
Ste E
Minot, ND 58703-3104

Mailing address

24 Main St N Ste E
Minot, ND 58703-3104
Phone (701) 394-5026

Other names 1

  • Karen N Levadney Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND
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

Enrollment IDStateProvider typePAC IDDetails
I20220112002449 ND Practitioner - Nurse Practitioner 3072905546 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Karen N. Tudahl, Pmhnp-BC, PLLC Single Specialty CurrentSince Aug 12, 2021 Accepting new patients

Locations

24 Main St N
Ste E
Minot, ND 58703
Phone (701) 394-5026

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1379894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636502400000",
    "number": "1659707610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 MAIN ST N STE E",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587033104",
            "telephone_number": "701-394-5026",
            "fax_number": "701-419-6529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 MAIN ST N",
            "address_2": "STE E",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587033104",
            "telephone_number": "701-394-5026",
            "fax_number": "701-516-8026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUDAHL",
        "first_name": "KAREN",
        "middle_name": "N",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-23",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ND",
            "license": "R29260",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "ND",
            "license": "R29260",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "LEVADNEY",
            "middle_name": "N",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Minot, ND

Sources for this page

Verify at the official NPI Registry.