Individual provider Active NPI

Karen Elaine Brabant, MS, ACNP-BC,CNS

  • Acute Care Nurse Practitioner
  • Canyon Lake, CA
National Provider Identifier
1871667337
Registry record updated Oct 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
16603 Issued in CA
Practice address
29832 Redwood Dr
Canyon Lake, CA 92587-7947
Phone
(951) 442-5467
NPI assigned
Nov 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 16603 CA Primary

Addresses

Primary practice location

29832 Redwood Dr
Canyon Lake, CA 92587-7947

Mailing address

29832 Redwood Dr
Canyon Lake, CA 92587-7947
Phone (951) 442-5467

Other identifiers 1

IdentifierTypeStateIssuer
1871667337MedicaidCA

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
Credentials
Certified Nurse Specialist, Master of Science, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
H. Allen Hooper, M.D. a Professional Corporation Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: kbrabant20096@direct.davitaphysiciansolutions.com

Organizations & group practices 1

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": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381190400000",
    "number": "1871667337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29832 REDWOOD DR",
            "city": "CANYON LAKE",
            "state": "CA",
            "postal_code": "925877947",
            "telephone_number": "951-442-5467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29832 REDWOOD DR",
            "city": "CANYON LAKE",
            "state": "CA",
            "postal_code": "925877947",
            "telephone_number": "951-442-5467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRABANT",
        "first_name": "KAREN",
        "middle_name": "ELAINE",
        "credential": "MS,  ACNP-BC,CNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-17",
        "last_updated": "2013-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CA",
            "license": "16603",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1871667337",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canyon Lake, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2013; 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.