Individual provider Active NPI

Karnashia Person

  • Prosthetic/Orthotic Supplier
  • Clarksville, TN
National Provider Identifier
1497466429
Registry record updated May 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
204696 Issued in TN
Practice address
2053 Wilma Rudolph Blvd Ste 2
Clarksville, TN 37040-6961
Phone
(334) 614-2967
NPI assigned
Dec 12, 2022
Last updated
May 23, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X 204696 TN Primary

Addresses

Primary practice location

2053 Wilma Rudolph Blvd Ste 2
Clarksville, TN 37040-6961

Mailing address

740 Crestone LN
Clarksville, TN 37042-1478
Phone (334) 614-2967

Other identifiers 1

IdentifierTypeStateIssuer
0240166OtherTNBUSINESS LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL kayydior777@gmail.com Direct

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

LicenseStateTypeSpecialty
204696TNMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Kayy Diors Hair Studio Prosthetic/Orthotic Supplier CurrentSince May 28, 2023 Accepting new patients

Locations

2053 Wilma Rudolph Blvd
Ste 2
Clarksville, TN 37040
Phone (334) 614-2967

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1670803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684800000000",
    "number": "1497466429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 CRESTONE LN",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370421478",
            "telephone_number": "334-614-2967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2053 WILMA RUDOLPH BLVD STE 2",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370406961",
            "telephone_number": "334-614-2967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERSON",
        "first_name": "KARNASHIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-12",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "TN",
            "license": "204696",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUSINESS LICENSE",
            "identifier": "0240166",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "kayydior777@gmail.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2053 Wilma Rudolph Blvd Ste 2",
            "city": "Clarksville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "370406961",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Clarksville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2023; 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.