Active NPI
Kimberly Nelson, L.M.T.
- Massage Therapist
- Nashville, TN
National Provider Identifier
1760835565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 10996
- Practice address
- 202 Desoto Dr
Nashville, TN 37210-5108 - Phone
- (615) 933-8936
- NPI assigned
- Jul 16, 2016
- Last updated
- Jul 16, 2016
- 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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 10996 | TN | Primary |
Addresses
Primary practice location
202 Desoto Dr
Nashville, TN 37210-5108
Mailing address
202 Desoto Dr
Nashville, TN 37210-5108
Phone (615) 933-8936
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 |
|---|---|---|---|
| 10996 | TN | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468627200000",
"number": "1760835565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "202 DESOTO DR",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372105108",
"telephone_number": "615-933-8936"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 DESOTO DR",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372105108",
"telephone_number": "615-933-8936"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "KIMBERLY",
"name_prefix": "Ms.",
"credential": "L.M.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-07-16",
"last_updated": "2016-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "TN",
"license": "10996",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.