Healthcare Provider Details

I. General information

NPI: 1750200077
Provider Name (Legal Business Name): KAREN JADE NEARY NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/11/2026
Last Update Date: 07/11/2026
Certification Date: 07/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1280 COAST VILLAGE CIR STE B
SANTA BARBARA CA
93108-3757
US

IV. Provider business mailing address

2111 HILL HAVEN RD
SOLVANG CA
93463-3204
US

V. Phone/Fax

Practice location:
  • Phone: 805-895-1246
  • Fax:
Mailing address:
  • Phone: 805-895-1246
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number95040560
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: