Karyssa Jeanne Nelson, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

056.0122608 Issued in IL

Practice address

1320 Walnut St
Terre Haute, IN 47807-3931

Phone

(307) 660-7801

NPI assigned

Aug 31, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Karyssa Jeanne Kimery Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1535673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576108800000",
    "number": "1053893545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11389 S STATE ROAD 63",
            "city": "CLINTON",
            "state": "IN",
            "postal_code": "478427195",
            "telephone_number": "307-660-7801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 WALNUT ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478073931",
            "telephone_number": "307-660-7801"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 W Washington Ave",
            "address_purpose": "LOCATION",
            "city": "Chrisman",
            "state": "IL",
            "postal_code": "619241038",
            "country_code": "US",
            "telephone_number": "307-660-7801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NELSON",
        "first_name": "KARYSSA",
        "middle_name": "JEANNE",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-31",
        "last_updated": "2019-12-12",
        "certification_date": "2019-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056.0122608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "N/a",
            "affiliation": "N",
            "address_1": "1320 Walnut St",
            "city": "Terre Haute",
            "state": "IN",
            "country_code": "US",
            "postal_code": "478073931",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KARYSSA",
            "last_name": "KIMERY",
            "middle_name": "JEANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kathryn Neese, RBT
• Mackenzie Rae Neese
• Heide Neice, RBT
• Elizabeth Neil, LAT, ATC
• Jona Marie Neita, PMHNP
• Keith D. Nelson, LMHC
• Leonid Ronquillo Nemenzo, PA-C
• Ruvelyn Nemenzo, OTR
• Net Med Supply
• Hannah Grace Nethercutt

• Occupational Therapist in Terre Haute, IN
• Providers in Terre Haute, IN by specialty
• Occupational Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2019; 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.