Active NPI
Terry Blake Nelson, DPM
- Podiatrist
- Visalia, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- E5347
- Practice address
- 2914 W Main St
Visalia, CA 93291 - Phone
- (559) 627-2849
- NPI assigned
- Sep 16, 2014
- Last updated
- May 31, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
| Removal of nail tissue | 1740 |
| Removal or shaving of skin growth | 36 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E5347 | CA | MD | Podiatrist |
| 0000543 | CO | MD | Podiatrist |
| 5347 | CA | MD | Speech-Language Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Healthcare Network | Current | Accepting new patients | |
| Family Healthcare Network | Current | Accepting new patients | |
| Family Healthcare Network | Current | Accepting new patients | |
| Omni Family Health | Current | Accepting new patients | |
| Sierra Podiatry Corporation | Podiatrist | Current | Accepting new patients |
| Omni Family Health | Current | 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 | Past | 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
- https://fhir4.healow.com/fhir/r4/HEBGCD
- https://fhir4.healow.com/fhir/r4/HEBGCD/Endpoint/HEBGCD
- nelson.terry.p4@direct.vht.nextgenshare.com
- terry.nelson.p1@direct.omnifamilyhealth.nextgenshare.com
- 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.
-
- Federally Qualified Health Center (FQHC)
- Woodlake, CA
- NPI 1164517744
-
- Federally Qualified Health Center (FQHC)
- Buttonwillow, CA
- NPI 1700891660
-
dba Canyon Oaks Foot and Ankle
- Foot & Ankle Surgery Podiatrist
- Visalia, CA
- NPI 1740693555
-
- Federally Qualified Health Center (FQHC)
- Delano, CA
- NPI 1063283158
-
- Federally Qualified Health Center (FQHC)
- Porterville, CA
- NPI 1083611156
-
- Federally Qualified Health Center (FQHC)
- Bakersfield, CA
- NPI 1770399669
-
dba Bakersfield Memorial Hospital Pharmacy
- Institutional Pharmacy
- Bakersfield, CA
- NPI 1144256363
-
- Podiatrist
- Porterville, CA
- NPI 1790331189
-
- Federally Qualified Health Center (FQHC)
- Ivanhoe, CA
- NPI 1386670610
-
dba Kaweah Health Urgent Care
- Urgent Care Clinic/Center
- Visalia, CA
- NPI 1790795458
-
- Federally Qualified Health Center (FQHC)
- Delano, CA
- NPI 1417962457
-
- General Acute Care Hospital
- Bakersfield, CA
- NPI 1538157508
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Kaweah Health Medical Center
- General Acute Care Hospital
- Visalia, CA
- NPI 1588663769
-
dba Sierra View Medical Center
- General Acute Care Hospital
- Porterville, CA
- NPI 1639143381
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.