Karen Christine Pacheco, NP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

APRN02437 Issued in RI

Practice address

1220 Pontiac Ave Ste 101
Cranston, RI 02920-4455

Phone

(401) 943-4660

Fax

(401) 943-0240

NPI assigned

Oct 6, 2020

Last updated

Mar 29, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Karen Christine Reyes Former name

Medicare fee-for-service enrollment

Enrolled in RI

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Miriam Hospital

  • Multi-Specialty Clinic/Center
  • Providence, RI
  • NPI 1598978744
  Medicare reassignment NPD
• The Miriam Hospital

  • Cardiac Rehabilitation Clinic/Center
  • East Greenwich, RI
  • NPI 1518482389
  NPD
• Hematology & Oncology Associates of Rhode Island, Inc.

  • Hematology & Oncology Physician
  • Cranston, RI
  • NPI 1538174909
  NPD (past)
• Kent County Memorial Hospital

  dba Kent County Hospital Rehab Unit

  • Rehabilitation Hospital Unit
  • Warwick, RI
  • NPI 1023017944
  NPD (past)

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

{
    "created_epoch": "1601942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616976000000",
    "number": "1770180499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 TOLL GATE RD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028862759",
            "telephone_number": "401-273-0641",
            "fax_number": "401-273-2919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 PONTIAC AVE STE 101",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029204455",
            "telephone_number": "401-943-4660",
            "fax_number": "401-943-0240"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "54 Brigham St",
            "address_purpose": "LOCATION",
            "city": "New Bedford",
            "state": "MA",
            "postal_code": "027402208",
            "country_code": "US",
            "telephone_number": "508-979-1100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "237 State Rd",
            "address_purpose": "LOCATION",
            "city": "Dartmouth",
            "state": "MA",
            "postal_code": "027472612",
            "country_code": "US",
            "telephone_number": "508-979-1100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1220 Pontiac Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Cranston",
            "state": "RI",
            "postal_code": "029204455",
            "country_code": "US",
            "telephone_number": "401-943-4660",
            "fax_number": "401-943-0240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PACHECO",
        "first_name": "KAREN",
        "middle_name": "CHRISTINE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-06",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "RI",
            "license": "APRN02437",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "APRN02437",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "REYES",
            "middle_name": "CHRISTINE",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Orthopaedic Associates Inc
• Orthopaedic Associates, Incorporated
• OT Lactivist LLC
• Gabriel Ernesto Otto
• Brittany Pacheco, BCBA, LBA
• Suzanne Theresa Pacheco, ATC
• Pacifica Victoria Court LP
• Ethan Pais, DPM
• Pajotte Transportation LLC
• Paladin Physical Therapy

• Acute Care Nurse Practitioner in Cranston, RI
• Providers in Cranston, RI by specialty
• Acute Care Nurse Practitioner in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2021; 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.