Individual provider Active NPI

Karen Ellen Sahakian-Cortinas, ARNP

  • Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1720048655
Registry record updated Sep 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
2591252 Issued in FL
Practice address
4217 Baymeadows Rd
Jacksonville, FL 32217
Phone
(904) 332-7431
Fax
(904) 332-7408
NPI assigned
Mar 24, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 2591252 FL Primary

Addresses

Primary practice location

4217 Baymeadows Rd
Jacksonville, FL 32217

Mailing address

193 Cedar Ridge Circle
St.Augustine, FL 32080-6529
Phone (904) 471-8908

Other identifiers 1

IdentifierTypeStateIssuer
303091100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20080917000565 FL Practitioner - Nurse Practitioner 9234206277 Practice locations: Ponte Vedra, FL; Saint Augustine, FL; St Augustine, FL

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2591252FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kristin Kay Jones Inc Past Accepting new patients
Lanier Rehabilitation Center LLC Past Accepting new patients
Monina a Duran MD PA Past Accepting new patients

Organizations & group practices 3

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": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284681600000",
    "number": "1720048655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "193 CEDAR RIDGE CIRCLE",
            "city": "ST.AUGUSTINE",
            "state": "FL",
            "postal_code": "320806529",
            "telephone_number": "904-471-8908",
            "fax_number": "904-471-8908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4217 BAYMEADOWS RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32217",
            "telephone_number": "904-332-7431",
            "fax_number": "904-332-7408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAHAKIAN-CORTINAS",
        "first_name": "KAREN",
        "middle_name": "ELLEN",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-24",
        "last_updated": "2010-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "2591252",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "303091100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.