Individual provider Active NPI

Karen Michelle Barton-Nielsen, MD

  • Family Medicine Physician
  • Whitehouse, TX
National Provider Identifier
1972651313
Registry record updated Dec 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
H6034 Issued in TX
Practice address
601 Hwy 110 N Bay 0
Whitehouse, TX 75791-3037
Phone
(903) 839-2585
Fax
(903) 839-3165
NPI assigned
Jan 8, 2007
Last updated
Dec 8, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X H6034 TX Primary

Addresses

Primary practice location

601 Hwy 110 N Bay 0
Whitehouse, TX 75791-3037

Mailing address

PO Box 846098
Dallas, TX 75284-6098
Phone (903) 324-6450

Other identifiers 8

IdentifierTypeStateIssuer
TIN PLUS 001OtherTXTRICARE CANTON LOCATION
047364702MedicaidTX
TIN PLUS 028OtherTXTRICARE LINDALE LOCATION
TIN PLUS 042OtherTXTRICARE WOUND CARE LOCATION
047364704MedicaidTX
8BC403OtherTXBCBS OF TEXAS
8B9735OtherTXBCBS
TIN PLUS 023OtherTXTRICARE WHITHOUSE LOCATION

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080722000138 TX Practitioner - Family Practice 9133292329 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
116034TXMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Christus Trinity Clinic Texas Family Medicine CurrentSince May 1, 2009 Accepting new patients
Christus Trinity Clinic Texas CurrentSince May 1, 2009 Accepting new patients

Locations

3203 S Main St
Lindale, TX 75771
Phone (903) 266-4000

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

800 E Dawson St
Tyler, TX 75701
Phone (903) 531-5018

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.

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417996800000",
    "number": "1972651313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 846098",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752846098",
            "telephone_number": "903-324-6450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 HWY 110 N BAY 0",
            "city": "WHITEHOUSE",
            "state": "TX",
            "postal_code": "757913037",
            "telephone_number": "903-839-2585",
            "fax_number": "903-839-3165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTON-NIELSEN",
        "first_name": "KAREN",
        "middle_name": "MICHELLE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2014-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H6034",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE CANTON LOCATION",
            "identifier": "TIN PLUS 001",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "047364702",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE LINDALE LOCATION",
            "identifier": "TIN PLUS 028",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE WOUND CARE LOCATION",
            "identifier": "TIN PLUS 042",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "047364704",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TEXAS",
            "identifier": "8BC403",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8B9735",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE WHITHOUSE LOCATION",
            "identifier": "TIN PLUS 023",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitehouse, TX

Sources for this page

Verify at the official NPI Registry.