Individual provider Active NPI

Keri Karim, CPNP

  • Critical Care Pediatric Nurse Practitioner
  • Atlanta, GA
National Provider Identifier
1811955107
Registry record updated Apr 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Pediatric Nurse PractitionerTaxonomy code 363LP0222X
License
RN174611 Issued in GA
Practice address
1365 Clifton Rd NE
Building a
Atlanta, GA 30322
Phone
(404) 778-3381
Fax
(404) 778-4295
NPI assigned
May 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X RN174611 GA
Neonatal Nurse Practitioner 363LN0000X KARI-0441-7182 GA
Critical Care Pediatric Nurse Practitioner 363LP0222X RN174611 GA Primary

Addresses

Primary practice location

1365 Clifton Rd NE
Building a
Atlanta, GA 30322

Mailing address

3438 Union Park Dr
Duluth, GA 30097-6206
Phone (817) 455-9690

Other names 1

  • Khariunnissa Karim Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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

Enrollment IDStateProvider typePAC IDDetails
I20190307002976 GA Order and Referring Only - Nurse Practitioner 4284973397

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Pediatric Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN174611GAMDOtolaryngology Physician
KARI-0441-7182GAMDNeonatal Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: kkarim43631@direct.emory.org

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524096000000",
    "number": "1811955107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3438 UNION PARK DR",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300976206",
            "telephone_number": "817-455-9690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1365 CLIFTON RD NE",
            "address_2": "BUILDING A",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30322",
            "telephone_number": "404-778-3381",
            "fax_number": "404-778-4295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARIM",
        "first_name": "KERI",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-03",
        "last_updated": "2018-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "GA",
            "license": "RN174611",
            "primary": false
        },
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "GA",
            "license": "KARI-0441-7182",
            "primary": false
        },
        {
            "code": "363LP0222X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics, Critical Care",
            "state": "GA",
            "license": "RN174611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KHARIUNNISSA",
            "last_name": "KARIM",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.