Active NPI
Colleen Chime Karkhang, CNP
- Gerontology Nurse Practitioner
- New Haven, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 8271
- Practice address
- 20 York St
New Haven, CT 06510 - Phone
- (475) 355-0785
- NPI assigned
- Jan 14, 2016
- Last updated
- Oct 18, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 8271 | CT | |
| Gerontology Nurse Practitioner | 363LG0600X | 8271 | CT | Primary |
Addresses
Primary practice location
20 York St
New Haven, CT 06510
Mailing address
333 Cedar St # 121
New Haven, CT 06510-3206
Phone (203) 785-2565
Other practice location 1
3219 Clifton Ave
Suite 315
Cincinnati, OH 45220-3027
Phone (513) 624-0999
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| COA.18128-NP | Other | OH | OH NURSING LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
20 York St
New Haven, CT 06510-3220
Phone (203) 785-4638
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.36 of 100
- Quality
- 77.36
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.27
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trihealth G, LLC | Current | Accepting new patients | |
| Yale University | Current | Accepting new patients | |
| Trihealth G LLC | Current | Accepting new patients | |
| Yale University | Current | Accepting new patients |
Locations
300 George St
Fl 6
New Haven, CT 06511
Phone (203) 785-6610
333 Cedar St
#121
New Haven, CT 06510
Phone (203) 500-6593
800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140
20 York St
North Haven, CT 06510
Phone (203) 688-2433
2001 Anderson Ferry Rd
Cincinnati, OH 45238
Phone (513) 922-1200
3219 Clifton Ave
Ste 315
Cincinnati, OH 45220
Phone (513) 624-0999
9070 Winton Rd
Cincinnati, OH 45231
Phone (513) 246-2750
4685 Forest Ave
Ste C
Norwood, OH 45212
Phone (513) 246-7796
Interoperability endpoints
- ckarkhang440713@direct.ynhh.org
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Cincinnati, OH
- NPI 1295862944
-
- Durable Medical Equipment & Medical Supplies
- Fairfield, CT
- NPI 1548066962
-
dba GE Family Wellness Center Pharmacy
- Community/Retail Pharmacy
- Cincinnati, OH
- NPI 1184023640
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New Haven, CT
- NPI 1336139500
-
- General Acute Care Hospital
- New Haven, CT
- NPI 1578778726
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571356800000",
"number": "1730545187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 CEDAR ST # 121",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065103206",
"telephone_number": "203-785-2565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 YORK ST",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "06510",
"telephone_number": "475-355-0785"
}
],
"practiceLocations": [
{
"address_1": "3219 Clifton Ave",
"address_2": "Suite 315",
"address_purpose": "LOCATION",
"city": "Cincinnati",
"state": "OH",
"postal_code": "452203027",
"country_code": "US",
"telephone_number": "513-624-0999",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KARKHANG",
"first_name": "COLLEEN",
"middle_name": "CHIME",
"credential": "CNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-01-14",
"last_updated": "2019-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "CT",
"license": "8271",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "CT",
"license": "8271",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OH NURSING LICENSE",
"identifier": "COA.18128-NP",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2019; 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.
- 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.