Individual provider Active NPI

Karleny Pergentino Foley

  • Family Nurse Practitioner
  • Danvers, MA
National Provider Identifier
1871151597
Registry record updated Feb 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2273149 Issued in MA
Practice address
311 Newbury St
Danvers, MA 01923-1027
Phone
(978) 777-5504
NPI assigned
May 29, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN2273149 MA Primary

Addresses

Primary practice location

311 Newbury St
Danvers, MA 01923-1027

Mailing address

11 Carriage LN
Merrimack, NH 03054-3033
Phone (857) 204-8342

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kfoley2274006@direct.texashealth.org Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20221207002732 TX Practitioner - Nurse Practitioner 8022347897 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Health Urgent CareGroup PAC ID 0345654414, 128 clinicians

Practice addresses (Care Compare)

130 N Denton Tap Rd
Suite 140
Coppell, TX 75019-2155
Phone (469) 495-9130

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Urgent Care Current Accepting new patients
Texas Health Urgent Care Current Accepting new patients
Texas Health Urgent Care CurrentSince Dec 1, 2022 Accepting new patients
Texas Health Urgent Care Family CurrentSince Dec 1, 2022 Accepting new patients

Locations

130 N Denton Tap Rd
Ste 140
Coppell, TX 75019
Phone (469) 206-2834

6411 E Northwest Hwy
Dallas, TX 75231
Phone (469) 495-9110

125 Davis Blvd
Southlake, TX 76092
Phone (682) 212-9104

Interoperability endpoints

  • Direct secure messaging: karleny.foley.1@14940.direct.athenahealth.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1559088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676332800000",
    "number": "1871151597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 CARRIAGE LN",
            "city": "MERRIMACK",
            "state": "NH",
            "postal_code": "030543033",
            "telephone_number": "857-204-8342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 NEWBURY ST",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019231027",
            "telephone_number": "978-777-5504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOLEY",
        "first_name": "KARLENY",
        "middle_name": "PERGENTINO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-29",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2273149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kfoley2274006@direct.texashealth.org",
            "affiliation": "N",
            "endpointDescription": "Health Information Exchange",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "130 N Denton Tap Rd Ste 140",
            "city": "Coppell",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750192155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Danvers, MA

Sources for this page

Verify at the official NPI Registry.