Karol D Nelson

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

60044 Issued in NM

Legal business name

KAROL D NELSON

Doing business as

Bras and Prosthesis

Practice address

3713 Linkwood LN
Clovis, NM 88101

Phone

(575) 769-3516

Fax

(575) 769-3516

NPI assigned

May 3, 2007

Last updated

Sep 23, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Karol Day Nelson, NONE

Title

Owner

Phone

(575) 769-3516

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Bras and Prosthesis Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222128000000",
    "number": "1427270891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3713 LINKWOOD LN",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "88101",
            "telephone_number": "575-769-3516",
            "fax_number": "575-769-3516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3713 LINKWOOD LN",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "88101",
            "telephone_number": "575-769-3516",
            "fax_number": "575-769-3516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAROL D NELSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2008-09-23",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "KAROL",
        "authorized_official_middle_name": "DAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "575-769-3516",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "NONE"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NM",
            "license": "60044",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "66709822",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bras and Prosthesis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tricia M Kalu Ukpai
• Rob Joseph Kamermans, MD
• Padmaneel B Kanase, MD
• Logan Arden Kanode, PT, DPT, CWC
• Karen Higgins Niles Inc
• Firouzeh Kasaie, CFNP
• Yilma Kebede Kebelo, MD, DPM
• Stacy Keener
• Keith D. Barker OD PC
• Cheyenne Keith

• Prosthetic/Orthotic Supplier in Clovis, NM
• Providers in Clovis, NM by specialty
• Prosthetic/Orthotic Supplier in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2008; 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.