Active NPI
Karen W Beraha, NP
- Nurse Practitioner
- North Dartmouth, MA
National Provider Identifier
1699762732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN192766
- Practice address
- 49 State Road, Nauset BLDG
North Dartmouth, MA 02747 - Phone
- (508) 973-9240
- Fax
- (508) 973-0306
- NPI assigned
- Oct 4, 2005
- Last updated
- Jan 7, 2016
- 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 | RN192766 | MA | Primary |
Addresses
Primary practice location
49 State Road, Nauset BLDG
North Dartmouth, MA 02747
Mailing address
200 Mill Rd Ste 180
Fairhaven, MA 02719-5255
Phone (508) 973-2000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110087488A | Medicaid | MA |
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 |
|---|---|---|---|
| RN192766 | MA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southcoast Primary Care Inc | Past | Accepting new patients |
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.
-
- Family Medicine Physician
- Mattapoisett, MA
- NPI 1891783189
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452124800000",
"number": "1699762732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 MILL RD STE 180",
"city": "FAIRHAVEN",
"state": "MA",
"postal_code": "027195255",
"telephone_number": "508-973-2000",
"fax_number": "508-973-2001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "49 STATE ROAD, NAUSET BLDG",
"city": "NORTH DARTMOUTH",
"state": "MA",
"postal_code": "02747",
"telephone_number": "508-973-9240",
"fax_number": "508-973-0306"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERAHA",
"first_name": "KAREN",
"middle_name": "W",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-04",
"last_updated": "2016-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MA",
"license": "RN192766",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110087488A",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Dartmouth, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.