Active NPI
William M Nielson, DPM
- Primary Podiatric Medicine Podiatrist
- Florence, KY
National Provider Identifier
1174521082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Podiatric Medicine Podiatrist
- License
- 00165
- Practice address
- 7370 Turfway Rd
Ste 302
Florence, KY 41042 - Phone
- (859) 371-4020
- Fax
- (859) 746-7464
- NPI assigned
- Jul 13, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Podiatric Medicine Podiatrist | 213EP1101X | 00165 | KY | Primary |
Addresses
Primary practice location
7370 Turfway Rd
Ste 302
Florence, KY 41042
Mailing address
PO Box 635283
Cincinnati, OH 45263-5283
Phone (859) 212-0175
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 80001654 | Medicaid | KY | |
| 000000032629 | Other | KY | ANTHEM |
| 4393890 | Other | KY | AETNA |
| 27-00334 | Other | KY | UHC |
| 90040080 | Medicaid | KY |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536192000000",
"number": "1174521082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 635283",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452635283",
"telephone_number": "859-212-0175",
"fax_number": "859-441-3698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7370 TURFWAY RD",
"address_2": "STE 302",
"city": "FLORENCE",
"state": "KY",
"postal_code": "41042",
"telephone_number": "859-371-4020",
"fax_number": "859-746-7464"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIELSON",
"first_name": "WILLIAM",
"middle_name": "M",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-13",
"last_updated": "2018-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "213EP1101X",
"taxonomy_group": "",
"desc": "Podiatrist, Primary Podiatric Medicine",
"state": "KY",
"license": "00165",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "80001654",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000032629",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4393890",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC",
"identifier": "27-00334",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "90040080",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Florence, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.