Active NPI
Karleen Nantze
- Occupational Therapist
- Corvallis, OR
National Provider Identifier
1467063198
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 433349
- Practice address
- 815 NW 9TH St Ste 180
Corvallis, OR 97330-6173 - Phone
- (541) 768-5157
- NPI assigned
- Aug 14, 2020
- Last updated
- Apr 6, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 433349 | OR | Primary |
Addresses
Primary practice location
815 NW 9TH St Ste 180
Corvallis, OR 97330-6173
Mailing address
PO Box 1189
Corvallis, OR 97339-1189
Other practice location 1
3600 NW Samaritan Dr
Corvallis, OR 97330-3737
Phone (731) 446-3492
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Karleenh@samhealth.org | ||
| Direct Messaging Address | khollis188773@samhealth.direct-ci.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7917 | TN | MD | Mental Health Counselor |
| 433349 | OR | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midsouth Orthopaedic Rehabilitation | Current | Accepting new patients | |
| Radix Wellness, LLC | Past | Accepting new patients |
Locations
256 Germantown Bend Cv
Ste 102
Cordova, TN 38018
Phone (901) 522-6671
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- Germantown, TN
- NPI 1386835940
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649203200000",
"number": "1467063198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1189",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973391189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "815 NW 9TH ST STE 180",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973306173",
"telephone_number": "541-768-5157"
}
],
"practiceLocations": [
{
"address_1": "3600 NW Samaritan Dr",
"address_purpose": "LOCATION",
"city": "Corvallis",
"state": "OR",
"postal_code": "973303737",
"country_code": "US",
"telephone_number": "731-446-3492",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NANTZE",
"first_name": "KARLEEN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-08-14",
"last_updated": "2022-04-06",
"certification_date": "2022-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OR",
"license": "433349",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Karleenh@samhealth.org",
"affiliation": "N",
"address_1": "3600 NW Samaritan Dr",
"city": "Corvallis",
"state": "OR",
"country_code": "US",
"postal_code": "973303737",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "khollis188773@samhealth.direct-ci.com",
"affiliation": "N",
"address_1": "815 NW 9th St Ste 180",
"city": "Corvallis",
"state": "OR",
"country_code": "US",
"postal_code": "973306173",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Corvallis, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.