Karen Boggs Dwiggins, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

070068 Issued in NC

Practice address

4120 Meadowridge Dr
Charlotte, NC 28226-8144

Phone

(704) 340-4408

NPI assigned

May 16, 2006

Last updated

Aug 18, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Karen Ray Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503014400000",
    "number": "1902858590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4120 MEADOWRIDGE DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282268144",
            "telephone_number": "704-340-4408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4120 MEADOWRIDGE DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282268144",
            "telephone_number": "704-340-4408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DWIGGINS",
        "first_name": "KAREN",
        "middle_name": "BOGGS",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2017-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "070068",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NAN604",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8051315",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "RAY",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dva Healthcare Renal Care Inc (South Charlotte Dialysis)
• Dva Healthcare Renal Care Inc (Charlotte East Dialysis)
• Dva Healthcare Renal Care, Inc. (Brookshire Dialysis)
• Jonathan Dvorak
• Matee Jackson Dwanah
• Andrea Yvette Dwyer, LCASA
• Melanie Miller Dwyer, RD
• Dxtxbxnk
• Jameson Andrew Dyal, MD
• Christopher Dyba, DPT

• Certified Registered Nurse Anesthetist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Certified Registered Nurse Anesthetist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2017; 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.