Individual provider Active NPI

Karen Christine Nzerem, PA-C

  • Medical Physician Assistant
  • Randolph Afb, TX
National Provider Identifier
1285618371
Registry record updated May 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
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

Updated by the provider on May 1, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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.

Verify at the official NPI Registry.