Active NPI
Karen J Brenner, CNP
- Nurse Practitioner
- Garfield HTS, OH
National Provider Identifier
1720063407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- NP-06890
- Practice address
- 12300 McCracken Rd
Garfield HTS, OH 44125-2914 - Phone
- (216) 581-0500
- NPI assigned
- Dec 14, 2005
- 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 | NP-06890 | OH | Primary |
Addresses
Primary practice location
12300 McCracken Rd
Garfield HTS, OH 44125-2914
Mailing address
PO Box 73327N
Cleveland, OH 44193-1094
Phone (440) 879-0081
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000324170 | Other | OH | ANTHEM |
| 2401029 | Medicaid | OH |
Other names 1
- Karen J Long
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
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP-06890 | OH | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Neurologists Association,Inc | Past | Accepting new patients | |
| Renaissance Counseling Service Inc. | Past | Accepting new patients | |
| Infinity Health Care, LLC | 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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1720063407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 73327N",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441931094",
"telephone_number": "440-879-0081",
"fax_number": "440-879-0084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12300 MCCRACKEN RD",
"city": "GARFIELD HTS",
"state": "OH",
"postal_code": "441252914",
"telephone_number": "216-581-0500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRENNER",
"first_name": "KAREN",
"middle_name": "J",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OH",
"license": "NP-06890",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000324170",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2401029",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KAREN",
"last_name": "LONG",
"middle_name": "J",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Garfield HTS, OH
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.