Active NPI
Karen Brimley, FP
- Social Worker
- Peoria, AZ
National Provider Identifier
1821118803
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(1) exclusion effective Nov 20, 2014.
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 21015 N 82ND Ave
Peoria, AZ 85382-3462 - Phone
- (623) 352-3489
- NPI assigned
- Mar 31, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
21015 N 82ND Ave
Peoria, AZ 85382-3462
Mailing address
21015 N 82ND Ave
Peoria, AZ 85382-3462
Phone (623) 352-3489
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 925050 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1821118803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21015 N 82ND AVE",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853823462",
"telephone_number": "623-352-3489"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21015 N 82ND AVE",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853823462",
"telephone_number": "623-352-3489"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRIMLEY",
"first_name": "KAREN",
"credential": "FP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "925050",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Peoria, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.