Active NPI
Kara Livas, NP
- Nurse Practitioner
- Providence, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APRN00377
- Practice address
- 593 Eddy St
Claverick 2
Providence, RI 02903-4923 - Phone
- (401) 444-5451
- Fax
- (401) 444-2922
- NPI assigned
- Jan 13, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | APRN00377 | RI | Primary |
| Nurse Practitioner | 363L00000X | NPP37812 | RI |
Addresses
Primary practice location
593 Eddy St
Claverick 2
Providence, RI 02903-4923
Mailing address
PO Box 9484
Providence, RI 02940-9484
Phone (401) 854-2504
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110100076A | Medicaid | MA | |
| U400144295 | Other | RI | MEDICARE NGS |
| KG96613 | Medicaid | RI |
Other names 1
- Kara Glimenakis
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
55 Highland Ave
Suite 304
Salem, MA 01970-2100
Phone (978) 354-4611
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Medicine Services of NH, LLC | Current | Accepting new patients | |
| Charter LTC LLC | Current | Accepting new patients | |
| Charter Health PC | Current | Accepting new patients |
Locations
55 Highland Ave
Ste 304
Salem, MA 01970
Phone (978) 354-4611
1 Parkland Dr
Derry, NH 03038
Phone (603) 421-2220
10 Central Ave
Dover, NH 03820
Phone (603) 740-1500
333 Bothwick Ave
Portsmouth, NH 03801
Phone (603) 433-4907
603 Lafayette Rd
Seabrook, NH 03874
Phone (603) 474-6400
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Salem, MA
- NPI 1750824124
-
- Internal Medicine Physician
- Salem, MA
- NPI 1861129819
-
- Emergency Medicine Physician
- Derry, NH
- NPI 1386341444
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Salem, MA
- NPI 1730121633
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1523318400000",
"number": "1821410705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9484",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029409484",
"telephone_number": "401-854-2504",
"fax_number": "401-854-2519"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "593 EDDY ST",
"address_2": "CLAVERICK 2",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029034923",
"telephone_number": "401-444-5451",
"fax_number": "401-444-2922"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIVAS",
"first_name": "KARA",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-01-13",
"last_updated": "2018-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "RI",
"license": "APRN00377",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "RI",
"license": "NPP37812",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110100076A",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE NGS",
"identifier": "U400144295",
"state": "RI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "KG96613",
"state": "RI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KARA",
"last_name": "GLIMENAKIS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2018; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.