Active NPI
Karen Reynolds Persely, BA, R. EP T. CNIM
- Electroneurodiagnostic Specialist/Technologist
- Bellaire, TX
National Provider Identifier
1376683235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Electroneurodiagnostic Specialist/Technologist
- License
- 374
- Practice address
- 5420 West Loop S Ste 3100
Bellaire, TX 77401-2119 - Phone
- (713) 581-6950
- NPI assigned
- Feb 7, 2007
- 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 |
|---|---|---|---|---|
| Electroneurodiagnostic Specialist/Technologist | 246ZE0600X | 374 | TX | Primary |
Addresses
Primary practice location
5420 West Loop S Ste 3100
Bellaire, TX 77401-2119
Mailing address
5420 West Loop S Ste 3100
Bellaire, TX 77401-2119
Phone (713) 581-6950
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 374 | Other | TX | CNIM |
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
- Credentials
- Bachelor of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 374 | TX | MD | Electroneurodiagnostic Specialist/Technologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foundation Ancillary Services Affiliates, LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Surgical Technologist
- Bellaire, TX
- NPI 1225252737
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285718400000",
"number": "1376683235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5420 WEST LOOP S STE 3100",
"city": "BELLAIRE",
"state": "TX",
"postal_code": "774012119",
"telephone_number": "713-581-6950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5420 WEST LOOP S STE 3100",
"city": "BELLAIRE",
"state": "TX",
"postal_code": "774012119",
"telephone_number": "713-581-6950"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERSELY",
"first_name": "KAREN",
"middle_name": "REYNOLDS",
"name_prefix": "Ms.",
"credential": "BA, R. EP T. CNIM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-07",
"last_updated": "2010-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "246ZE0600X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
"state": "TX",
"license": "374",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CNIM",
"identifier": "374",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bellaire, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.