Karen Ockenholt, NPP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

42332730 Issued in NC

Practice address

209 Barium Springs Dr
Statesville, NC 28677

Phone

(704) 832-2200

NPI assigned

Sep 9, 2015

Last updated

Oct 11, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Marjorie Russell NP in Psychiatry, PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Latham, NY
  • NPI 1770032302
  NPD (past)

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

{
    "created_epoch": "1441756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570752000000",
    "number": "1760850663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 BARIUM SPRINGS DR",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286778454",
            "telephone_number": "704-832-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 BARIUM SPRINGS DR",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "28677",
            "telephone_number": "704-832-2200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "36 British American Blvd",
            "address_2": "STE 102",
            "address_purpose": "LOCATION",
            "city": "Latham",
            "state": "NY",
            "postal_code": "121101410",
            "country_code": "US",
            "telephone_number": "518-389-6606",
            "fax_number": "518-389-6605",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OCKENHOLT",
        "first_name": "KAREN",
        "credential": "NPP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-09",
        "last_updated": "2019-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "402016",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "42332730",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "589664",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Nunn, ED.S., NCSP
• Nuvu Health
• O. Jerry Hill, Jr. DDS, PA
• William J O'Neill
• Oceans of Hope Breast Care Boutique LLC
• Mary Kay Oconner
• Christiana Obiamaka Oduah-Thomas, RN
• Theophania Ofori Buah, AGPCNP
• Vida Nyarkoah Ohene-Agyeman
• Adanma Mbadinuju Okwara, M.D.

• Psychiatric/Mental Health Nurse Practitioner in Statesville, NC
• Providers in Statesville, NC by specialty
• Psychiatric/Mental Health Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2019; 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.