Individual provider Active NPI

Karen Ann Wernicke, CS, APRN

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Virginia Beach, VA
National Provider Identifier
1962517029
Registry record updated Oct 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X
License
0015000790 Issued in VA
Practice address
700 Independence Cir
Suite 3D
Virginia Beach, VA 23455-6405
Phone
(757) 456-0616
Fax
(757) 456-0616
NPI assigned
Aug 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X 0015000790 VA Primary

Addresses

Primary practice location

700 Independence Cir
Suite 3D
Virginia Beach, VA 23455-6405

Mailing address

700 Independence Cir
Suite 3D
Virginia Beach, VA 23455-6405
Phone (757) 473-8533

Other identifiers 3

IdentifierTypeStateIssuer
180111OtherVAANTHEM
010176000MedicaidVA
O85448MOtherOPTIMA/ SENTARA

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

State licenses

LicenseStateTypeSpecialty
0015000790VAMDPsychiatric/Mental Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Independence Therapy Center P C PastSince Apr 1, 1990 Accepting new patients

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": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222819200000",
    "number": "1962517029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 INDEPENDENCE CIR",
            "address_2": "SUITE 3D",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234556405",
            "telephone_number": "757-473-8533",
            "fax_number": "757-456-0616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 INDEPENDENCE CIR",
            "address_2": "SUITE 3D",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234556405",
            "telephone_number": "757-456-0616",
            "fax_number": "757-456-0616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WERNICKE",
        "first_name": "KAREN",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "CS, APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-20",
        "last_updated": "2008-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0015000790",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "180111",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010176000",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMA/ SENTARA",
            "identifier": "O85448M",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2008; 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.