Active NPI
Karen R Mohn, N.P.
- Nurse Practitioner
- Amarillo, TX
National Provider Identifier
1689641672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN038592
- Practice address
- 6010 W Amarillo Blvd
Amarillo, TX 79106-1990 - Phone
- (806) 355-9703
- NPI assigned
- Mar 8, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN038592 | AZ | Primary |
Addresses
Primary practice location
6010 W Amarillo Blvd
Amarillo, TX 79106-1990
Mailing address
4111 Stony PT
Amarillo, TX 79121-1800
Phone (806) 223-6661
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 381054 | Medicaid | AZ |
Other names 1
- Karen L Russell
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN038592 | AZ | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1689641672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4111 STONY PT",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791211800",
"telephone_number": "806-223-6661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6010 W AMARILLO BLVD",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791061990",
"telephone_number": "806-355-9703"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOHN",
"first_name": "KAREN",
"middle_name": "R",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AZ",
"license": "RN038592",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "381054",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KAREN",
"last_name": "RUSSELL",
"middle_name": "L",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Amarillo, TX
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.