Individual provider Active NPI

Karen C Macintosh, APN, FNP

  • Acute Care Nurse Practitioner
  • Fort Collins, CO
National Provider Identifier
1720224900
Registry record updated Jun 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
186858 Issued in CO
Practice address
305 Carpenter Rd
Fort Collins, CO 80525-4248
Phone
(970) 663-3500
Fax
(970) 292-0898
NPI assigned
Dec 18, 2008
Last updated
Jun 25, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 186858 CO
Acute Care Nurse Practitioner 363LA2100X 186858 CO Primary

Addresses

Primary practice location

305 Carpenter Rd
Fort Collins, CO 80525-4248

Mailing address

305 Carpenter Rd
Fort Collins, CO 80525-4248
Phone (970) 663-3500

Other identifiers 1

IdentifierTypeStateIssuer
186858OtherCOLICENSE - RN/NP, MEDICARE PENDING

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

State licenses

LicenseStateTypeSpecialty
186858COMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1229558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340582400000",
    "number": "1720224900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 CARPENTER RD",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805254248",
            "telephone_number": "970-663-3500",
            "fax_number": "970-292-0898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 CARPENTER RD",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805254248",
            "telephone_number": "970-663-3500",
            "fax_number": "970-292-0898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACINTOSH",
        "first_name": "KAREN",
        "middle_name": "C",
        "credential": "APN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-18",
        "last_updated": "2012-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "186858",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CO",
            "license": "186858",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE - RN/NP, MEDICARE PENDING",
            "identifier": "186858",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.