Active NPI
Karen Elizabeth Nelson, COMS
- Orientation and Mobility Training Rehabilitation Counselor
- Hendersonville, TN
National Provider Identifier
1336282706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orientation and Mobility Training Rehabilitation Counselor
- Practice address
- 109 Jackstaff Dr
Hendersonville, TN 37075-4104 - Phone
- (615) 822-8206
- Fax
- (615) 824-1463
- NPI assigned
- Feb 15, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Orientation and Mobility Training Rehabilitation Counselor | 225CX0006X | Primary | ||
| Physical Therapy Assistant | 225200000X | PTA0000002006 | TN |
Addresses
Primary practice location
109 Jackstaff Dr
Hendersonville, TN 37075-4104
Mailing address
109 Jackstaff Dr
Hendersonville, TN 37075-4104
Phone (615) 822-8206
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00D65 | Other | TN | PROVIDER NUMBER TN DMRS |
| D65 | Medicaid | TN |
Other names 1
- Mrs. Karen Strong Nelson
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA0000002006 | TN | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454284800000",
"number": "1336282706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 JACKSTAFF DR",
"city": "HENDERSONVILLE",
"state": "TN",
"postal_code": "370754104",
"telephone_number": "615-822-8206",
"fax_number": "615-824-1463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 JACKSTAFF DR",
"city": "HENDERSONVILLE",
"state": "TN",
"postal_code": "370754104",
"telephone_number": "615-822-8206",
"fax_number": "615-824-1463"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "KAREN",
"middle_name": "ELIZABETH",
"name_prefix": "Mrs.",
"credential": "COMS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-15",
"last_updated": "2016-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "225CX0006X",
"taxonomy_group": "",
"desc": "Rehabilitation Counselor, Orientation and Mobility Training Provider",
"state": null,
"license": null,
"primary": true
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "TN",
"license": "PTA0000002006",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVIDER NUMBER TN DMRS",
"identifier": "00D65",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "D65",
"state": "TN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KAREN",
"last_name": "NELSON",
"middle_name": "STRONG",
"prefix": "MRS.",
"credential": "COMS",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Hendersonville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.