Individual provider Active NPI

Karen Ann O Mahony

  • Specialist
  • Holbrook, NY
National Provider Identifier
1982874236
Registry record updated Mar 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
1797431 Issued in NY
Practice address
234E Springmeadow Dr Unit E
Holbrook, NY 11741-4138
Phone
(631) 567-3026
NPI assigned
Mar 3, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 1797431 NY Primary

Addresses

Primary practice location

234E Springmeadow Dr Unit E
Holbrook, NY 11741-4138

Mailing address

234E Springmeadow Dr Unit E
Holbrook, NY 11741-4138
Phone (631) 567-3026

Other names 1

  • Ms. Karen Ann Speidell Professional name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1797431NYMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1204502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204502400000",
    "number": "1982874236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234E SPRINGMEADOW DR UNIT E",
            "city": "HOLBROOK",
            "state": "NY",
            "postal_code": "117414138",
            "telephone_number": "631-567-3026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234E SPRINGMEADOW DR UNIT E",
            "city": "HOLBROOK",
            "state": "NY",
            "postal_code": "117414138",
            "telephone_number": "631-567-3026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O MAHONY",
        "first_name": "KAREN",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-03",
        "last_updated": "2008-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "1797431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "SPEIDELL",
            "middle_name": "ANN",
            "prefix": "MS.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Holbrook, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.