Individual provider Active NPI

Karen E Preston, CRNP

  • Family Nurse Practitioner
  • Indian Land, SC
National Provider Identifier
1962720342
Registry record updated May 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5006697 Issued in NC
Practice address
1040 Edgewater Corp Pkwy
Suite 106
Indian Land, SC 29707-4514
Phone
(704) 541-9117
Fax
(704) 541-9137
NPI assigned
May 11, 2010
Reactivated
May 16, 2025
Last updated
May 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5006697 NC Primary
Family Nurse Practitioner 363LF0000X 19393 SC

Addresses

Primary practice location

1040 Edgewater Corp Pkwy
Suite 106
Indian Land, SC 29707-4514

Mailing address

332 Catalina Dr
Mooresville, NC 28117-8566
Phone (704) 696-8220

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Oct 6, 2025 through Oct 6, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5006697NCMDFamily Nurse Practitioner
19393SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Buckingham Family Medicine Past 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1273536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747353600000",
    "number": "1962720342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 CATALINA DR",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281178566",
            "telephone_number": "704-696-8220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 EDGEWATER CORP PKWY",
            "address_2": "SUITE 106",
            "city": "INDIAN LAND",
            "state": "SC",
            "postal_code": "297074514",
            "telephone_number": "704-541-9117",
            "fax_number": "704-541-9137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRESTON",
        "first_name": "KAREN",
        "middle_name": "E",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-11",
        "last_updated": "2025-05-16",
        "deactivation_date": "2025-04-10",
        "reactivation_date": "2025-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5006697",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "19393",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indian Land, SC

Sources for this page

Verify at the official NPI Registry.