Individual provider Active NPI

Karen Anne O'Neil, APRN

  • Family Nurse Practitioner
  • Stuart, FL
National Provider Identifier
1871572024
Registry record updated Dec 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1820922 Issued in FL
Practice address
111 SE Osceola St
Stuart, FL 34994-2114
Phone
(772) 337-7676
Fax
(772) 337-7876
NPI assigned
Jan 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2021

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 1820922 FL Primary

Addresses

Primary practice location

111 SE Osceola St
Stuart, FL 34994-2114

Mailing address

111 SE Osceola St
Stuart, FL 34994-2114
Phone (772) 337-7676

Other identifiers 2

IdentifierTypeStateIssuer
Y04Y3OtherFLBCBS OF FLORIDA
002791300MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address karen.oneil@sep.eclinicaldirectplus.com

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
1820922FLMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1137283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640131200000",
    "number": "1871572024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 SE OSCEOLA ST",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942114",
            "telephone_number": "772-337-7676",
            "fax_number": "772-337-7876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 SE OSCEOLA ST",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942114",
            "telephone_number": "772-337-7676",
            "fax_number": "772-337-7876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'NEIL",
        "first_name": "KAREN",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-15",
        "last_updated": "2021-12-22",
        "certification_date": "2021-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "1820922",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FLORIDA",
            "identifier": "Y04Y3",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002791300",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "karen.oneil@sep.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "111 SE Osceola St",
            "city": "Stuart",
            "state": "FL",
            "country_code": "US",
            "postal_code": "349942114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2021; 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.