Individual provider Active NPI

Kathryn Coulson, RN

  • Registered Nurse
  • Flanders, NJ
National Provider Identifier
1013704055
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
250759 Issued in WI
Practice address
230 US Highway 206
BLDG 3, Suite 4
Flanders, NJ 07836-9287
Phone
(866) 306-2026
NPI assigned
Apr 23, 2025
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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.

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
250759WIMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Ophelia Medical Group NJ PC CurrentSince Apr 27, 2025 Accepting new patients
Ophelia Medical Group FL, P.a. PastSince Apr 27, 2025 Accepting new patients

Locations

230 US Highway 206
Ste 4
Flanders, NJ 07836

228 Park Ave S
New York, NY 10003
Phone (215) 588-2144

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 250759 WI Primary

Addresses

NPPES NPI Registry

Primary practice location

230 US Highway 206
BLDG 3, Suite 4
Flanders, NJ 07836-9287

Mailing address

228 Park Ave S
Suite 15314
New York, NY 10003-1502
Phone (215) 585-2144

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 23, 2025.

{
    "created_epoch": "1745366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1013704055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 PARK AVE S",
            "address_2": "SUITE 15314",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100031502",
            "telephone_number": "215-585-2144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 US HIGHWAY 206",
            "address_2": "BLDG 3, SUITE 4",
            "city": "FLANDERS",
            "state": "NJ",
            "postal_code": "078369287",
            "telephone_number": "866-306-2026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COULSON",
        "first_name": "KATHRYN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-23",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "250759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flanders, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2025; 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.