Active NPI
Karen Christine Nzerem, PA-C
- Medical Physician Assistant
- Randolph Afb, TX
National Provider Identifier
1285618371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- Practice address
- 359 Medical Group
231 3Rd St. W. BLDG 1040
Randolph Afb, TX 78150-4801 - Phone
- (210) 652-5321
- NPI assigned
- Dec 1, 2005
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | Primary |
Addresses
Primary practice location
359 Medical Group
231 3Rd St. W. BLDG 1040
Randolph Afb, TX 78150-4801
Mailing address
359 Medical Group
231 3Rd St. W. BLDG 1040
Randolph Afb, TX 78150-4801
Phone (210) 652-5321
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525132800000",
"number": "1285618371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "359 MEDICAL GROUP",
"address_2": "231 3RD ST. W. BLDG 1040",
"city": "RANDOLPH AFB",
"state": "TX",
"postal_code": "781504801",
"telephone_number": "210-652-5321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "359 MEDICAL GROUP",
"address_2": "231 3RD ST. W. BLDG 1040",
"city": "RANDOLPH AFB",
"state": "TX",
"postal_code": "781504801",
"telephone_number": "210-652-5321"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NZEREM",
"first_name": "KAREN",
"middle_name": "CHRISTINE",
"name_prefix": "Ms.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-01",
"last_updated": "2018-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Randolph Afb, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.