Karen Sue Jensen Phillips, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

96-308 Issued in NM

Practice address

145 Don Pasqual Rd NW
Suite 116
Los Lunas, NM 87031-8841

Phone

(505) 865-4618

Fax

(505) 224-8727

NPI assigned

Feb 9, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• First Choice Community Healthcare, Inc.

  • Federally Qualified Health Center (FQHC)
  • Albuquerque, NM
  • NPI 1902993132

  Family Medicine

  NPD
• Unm Medical Group Inc

  • Developmental Disabilities Clinic/Center
  • Albuquerque, NM
  • NPI 1851614432
  NPD (past)

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

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360022400000",
    "number": "1720051808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 DON PASQUAL RD NW",
            "address_2": "SUITE 116",
            "city": "LOS LUNAS",
            "state": "NM",
            "postal_code": "870318841",
            "telephone_number": "505-865-4618",
            "fax_number": "505-224-8727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 DON PASQUAL RD NW",
            "address_2": "SUITE 116",
            "city": "LOS LUNAS",
            "state": "NM",
            "postal_code": "870318841",
            "telephone_number": "505-865-4618",
            "fax_number": "505-224-8727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "KAREN",
        "middle_name": "SUE JENSEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-09",
        "last_updated": "2013-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "96-308",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q4985",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Annabelle M Perez
• Elaine Yvonne Perez
• Personal Living Systems LLC
• Leona Peseke, BMS
• Karen Pettiford, RN
• Makenzie Rose Phillips
• Sarah B Pla, LPCC
• Amanda Dawn Plotner
• Points of Change Acupuncture LLC
• Anna Elisabeth Praamsma, MSN, CPNP-PC, RN

• Family Medicine Physician in Los Lunas, NM
• Providers in Los Lunas, NM by specialty
• Family Medicine Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.