Individual provider Active NPI

Karen Elizabeth Carloy, NP-C

  • Adult Health Nurse Practitioner
  • Caldwell, ID
National Provider Identifier
1700949260
Registry record updated Jan 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
NP 526A Issued in ID
Practice address
315 Elm Street
Ste 310
Caldwell, ID 83605
Phone
(208) 454-2035
Fax
(208) 454-1065
NPI assigned
Dec 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 4704123477 MI
Adult Health Nurse Practitioner 363LA2200X NP 526A ID Primary

Addresses

Primary practice location

315 Elm Street
Ste 310
Caldwell, ID 83605

Mailing address

PO Box 742941
Atlanta, GA 30374-2941

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address KAREN.CARLOY@hca3.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
86.94 of 100Reported as group
Quality
87.04
Promoting interoperability
99
Improvement activities
40
Cost
70.27

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP 526AIDMDAdult Health Nurse Practitioner
4704123477MIMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest District Health Past Accepting new patients
State of Idaho Past Accepting new patients
Treasure Valley Gastroenterology Specialists Inc Past Accepting new patients
Southwest District Health Past Accepting new patients
T-Medica Mobil Anesthesia Inc. PastSince Apr 17, 2022 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20689/brand/1/csg/1/fhir/r4
  • Direct secure messaging: karen.carloy@hca3.eclinicaldirectplus.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641513600000",
    "number": "1700949260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 742941",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303742941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 ELM STREET",
            "address_2": "STE 310",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "83605",
            "telephone_number": "208-454-2035",
            "fax_number": "208-454-1065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLOY",
        "first_name": "KAREN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-18",
        "last_updated": "2022-01-07",
        "certification_date": "2020-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MI",
            "license": "4704123477",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "ID",
            "license": "NP 526A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "KAREN.CARLOY@hca3.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "315 ELM STREET",
            "address_2": "STE 310",
            "city": "CALDWELL",
            "state": "ID",
            "country_code": "US",
            "postal_code": "83605",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Caldwell, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.