Active NPI
Karl A. Nielson, DO
- Occupational Medicine Physician
- Robins Afb, GA
National Provider Identifier
1144885658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Medicine Physician
- License
- 13007622-1204
- Practice address
- 655 7TH St
Robins Afb, GA 31098-2227 - Phone
- (478) 327-8487
- NPI assigned
- May 9, 2019
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Aerospace Medicine Physician | 2083A0100X | 0102206324 | VA | |
| General Practice Physician | 208D00000X | 0102206324 | VA | |
| Occupational Medicine Physician | 2083X0100X | 13007622-1204 | UT | Primary |
Addresses
Primary practice location
655 7TH St
Robins Afb, GA 31098-2227
Mailing address
655 7TH St
Robins Afb, GA 31098-2227
Phone (478) 327-8487
Other practice location 1
3458 Neely Rd
Jb Mdl, NJ 08641-5312
Phone (609) 754-9385
Other practice location 2
Travis AFB
Fairfield, CA
Apo, AA 94535
Phone (707) 423-5180
Other practice location 3
2315 Stockton Blvd
Sacramento, CA 95817-2201
Phone (707) 423-5180
Other practice location 4
250 E 200 S Rm 1202
Salt Lake City, UT 84111-2472
Phone (801) 581-3841
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0102206324 | VA | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721779200000",
"number": "1144885658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "655 7TH ST",
"city": "ROBINS AFB",
"state": "GA",
"postal_code": "310982227",
"telephone_number": "478-327-8487"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "655 7TH ST",
"city": "ROBINS AFB",
"state": "GA",
"postal_code": "310982227",
"telephone_number": "478-327-8487"
}
],
"practiceLocations": [
{
"address_1": "3458 Neely Rd",
"address_purpose": "LOCATION",
"city": "Jb Mdl",
"state": "NJ",
"postal_code": "086415312",
"country_code": "US",
"telephone_number": "609-754-9385",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "Travis AFB",
"address_2": "Fairfield, CA",
"address_purpose": "LOCATION",
"city": "APO",
"state": "AA",
"postal_code": "94535",
"country_code": "US",
"telephone_number": "707-423-5180",
"country_name": "United States",
"address_type": "MIL"
},
{
"address_1": "2315 Stockton Blvd",
"address_purpose": "LOCATION",
"city": "Sacramento",
"state": "CA",
"postal_code": "958172201",
"country_code": "US",
"telephone_number": "707-423-5180",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "250 E 200 S Rm 1202",
"address_purpose": "LOCATION",
"city": "Salt Lake City",
"state": "UT",
"postal_code": "841112472",
"country_code": "US",
"telephone_number": "801-581-3841",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NIELSON",
"first_name": "KARL",
"middle_name": "A.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-05-09",
"last_updated": "2024-07-24",
"certification_date": "2024-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "2083A0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Aerospace Medicine",
"state": "VA",
"license": "0102206324",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "VA",
"license": "0102206324",
"primary": false
},
{
"code": "2083X0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Occupational Medicine",
"state": "UT",
"license": "13007622-1204",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Robins Afb, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.