Individual provider Active NPI

Terry Blake Nelson, DPM

  • Podiatrist
  • Visalia, CA
National Provider Identifier
1083015580
Registry record updated May 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E5347 Issued in CA
Practice address
2914 W Main St
Visalia, CA 93291
Phone
(559) 627-2849
NPI assigned
Sep 16, 2014
Last updated
May 31, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 0000543 CO
Podiatrist 213E00000X E5347 CA Primary

Addresses

Primary practice location

2914 W Main St
Visalia, CA 93291

Mailing address

1055 Clermont St
Denver, CO 80220-3808
Phone (303) 399-8020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170831001980 CA Practitioner - Podiatry 3375816002 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Healthcare NetworkGroup PAC ID 6305756339, 91 clinicians
Omni Family HealthGroup PAC ID 9234176363, 93 clinicians
Sierra Podiatry CorporationGroup PAC ID 1759503832, 4 clinicians

Practice addresses (Care Compare)

1107 W Poplar Ave
Porterville, CA 93257-5839
Phone (559) 781-7242

210 N Chester Ave
Bakersfield, CA 93308-4841
Phone (866) 707-6664

250 W 5TH St
Hanford, CA 93230-5029
Phone (559) 587-4532

2914 W Main St
Visalia, CA 93291-5731
Phone (559) 627-2849

939 S 12TH Ave
Hanford, CA 93230-5705
Phone (977) 960-3426

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of nail tissue1740
Removal or shaving of skin growth36

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E5347CAMDPodiatrist
0000543COMDPodiatrist
5347CAMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Family Healthcare Network CurrentSince Aug 19, 2019 Accepting new patients
Family Healthcare Network CurrentSince Aug 19, 2019 Accepting new patients
Family Healthcare Network Current Accepting new patients
Omni Family Health CurrentSince Feb 6, 2018 Accepting new patients
Sierra Podiatry Corporation Podiatrist CurrentSince Jul 8, 2017 Accepting new patients
Omni Family Health CurrentSince Feb 6, 2018 Accepting new patients
Bakersfield Memorial Hospital Past Accepting new patients
Family Healthcare Network Past Accepting new patients
Omni Family Health Past Accepting new patients
San Joaquin Community Hospital Past Accepting new patients
Sierra View Local Health Care District Past Accepting new patients
Bay Area Surgical Specialists Inc a Medical Corporation Podiatrist PastSince Aug 18, 2019 Accepting new patients
Kaweah Delta Health Care District Past Accepting new patients

Locations

210 N Chester Ave
Bakersfield, CA 93308
Phone (661) 325-6800

4600 Panama Ln
Unit 102B
Bakersfield, CA 93313
Phone (661) 630-7732

4900 California Ave
Ste 400B
Bakersfield, CA 93309
Phone (661) 630-7046

277 E Front St
Buttonwillow, CA 93206
Phone (661) 630-7381

1215 Jefferson St
Delano, CA 93215
Phone (661) 302-1463

912 Fremont St
Delano, CA 93215
Phone (661) 459-1974

6061 N 1st St
Ste 103
Fresno, CA 93710
Phone (559) 284-8550

1107 W Poplar Ave
Porterville, CA 93257
Phone (559) 781-7242

774 N Prospect St
Ste B
Porterville, CA 93257
Phone (559) 627-2849

1530 E Manning Ave
Reedley, CA 93654
Phone (559) 558-9741

2914 W Main St
Visalia, CA 93291
Phone (559) 436-8262

305 E Center Ave
Visalia, CA 93291
Phone (559) 737-4792

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HEBGCD
  • FHIR API: https://fhir4.healow.com/fhir/r4/HEBGCD/Endpoint/HEBGCD
  • Direct secure messaging: nelson.terry.p4@direct.vht.nextgenshare.com
  • Direct secure messaging: terry.nelson.p1@direct.omnifamilyhealth.nextgenshare.com
  • Direct secure messaging: terry.nelson@fhcn.eclinicaldirectplus.com

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1410825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527724800000",
    "number": "1083015580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 CLERMONT ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802203808",
            "telephone_number": "303-399-8020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2914 W MAIN ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "93291",
            "telephone_number": "559-627-2849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "TERRY",
        "middle_name": "BLAKE",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-16",
        "last_updated": "2018-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CO",
            "license": "0000543",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E5347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Visalia, CA

Sources for this page

Verify at the official NPI Registry.