Karen Dean, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-026442 Issued in AL

Practice address

100 E Vandiver Blvd
Montgomery, AL 36110-1812

Phone

(334) 832-4338

Fax

(334) 832-9971

NPI assigned

Jan 5, 2006

Last updated

Apr 21, 2010By 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 7

Medicare fee-for-service enrollment

Enrolled in AL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Health Services Inc

  dba Hayneville Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Hayneville, AL
  • NPI 1598788218
  NPD
• Health Services Inc

  dba Autaugaville Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Autaugaville, AL
  • NPI 1992727853
  NPD
• Health Services, Inc

  dba Montgomery Primary Care

  • Federally Qualified Health Center (FQHC)
  • Montgomery, AL
  • NPI 1528082336
  NPD
• Health Services, Inc.

  dba Living Well Specialty Clinic

  • Federally Qualified Health Center (FQHC)
  • Montgomery, AL
  • NPI 1184284986
  NPD
• Health Services, Inc.

  dba Highland Gardens School Based Health Center

  • Federally Qualified Health Center (FQHC)
  • Montgomery, AL
  • NPI 1427521962
  NPD

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

{
    "created_epoch": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271808000000",
    "number": "1942288220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 ADAMS AVE",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361044424",
            "telephone_number": "334-263-2301",
            "fax_number": "334-263-0881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E VANDIVER BLVD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361101812",
            "telephone_number": "334-832-4338",
            "fax_number": "334-832-9971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEAN",
        "first_name": "KAREN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-05",
        "last_updated": "2010-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-026442",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51517348",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "630901046",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "630903046",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51044084",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "630902046",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "630900046",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51517350",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dante V. De Jesus, MD
• Carla Lyn De la Garza, NURSE PRACTITIONER
• De Medical, LLC
• Alan Michael Deal, OTR/L
• Destiny Kate Dean, CRNP
• Nicole Dean, APRN
• Rita Davis Dean, PT
• Tiffany Davis Dean, DMD
• Melissa Deaton, PT
• Huldah Deberry, LMT

• Family Nurse Practitioner in Montgomery, AL
• Providers in Montgomery, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2010; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.