Kardia Integrative Psychiatry

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

KARDIA INTEGRATIVE PSYCHIATRY

Practice address

1193 Pearl St
Eugene, OR 97401-3521

Phone

(111) 111-1111

NPI assigned

Jul 10, 2024

Organization subpart

No

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

Authorized official

Name

Kara L PetredisNPI 1912675786

Title

Pmhnp

Phone

(503) 484-5215

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kara Lynn Petredis, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Eugene, OR
  • NPI 1912675786
  NPD Authorized official

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

{
    "created_epoch": "1720569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720569600000",
    "number": "1801633649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1193 PEARL ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013521",
            "telephone_number": "111-111-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1193 PEARL ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013521",
            "telephone_number": "111-111-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KARDIA INTEGRATIVE PSYCHIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-10",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A",
        "authorized_official_last_name": "PETREDIS",
        "authorized_official_first_name": "KARA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PMHNP",
        "authorized_official_telephone_number": "503-484-5215"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyson Kar
• Kara D Myers LCSW LLC
• Michael E Karasek, M.D.
• Emily Karch
• Anna Kardash, PHARMD
• Karen Sanchez Dean LCSW LLC Counseling
• Johanna Karikko
• Joshna Karki
• Elizabeth Amy Karkula, M.ED.
• Orna Karlin, CNM

• Psychiatric/Mental Health Nurse Practitioner in Eugene, OR
• Providers in Eugene, OR by specialty
• Psychiatric/Mental Health Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; 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.