Healthcare Provider Details

I. General information

NPI: 1255209011
Provider Name (Legal Business Name): KARIA NELSON RRT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/24/2025
Last Update Date: 10/24/2025
Certification Date: 10/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

765 BERT JOHNSTON AVE
COVINGTON TN
38019-2414
US

IV. Provider business mailing address

6284 DAWN HAVEN DR
MILLINGTON TN
38053-3621
US

V. Phone/Fax

Practice location:
  • Phone: 901-475-0027
  • Fax: 901-475-0081
Mailing address:
  • Phone: 901-672-4780
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code227900000X
TaxonomyRegistered Respiratory Therapist
License Number8716
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code2279C0205X
TaxonomyCritical Care Registered Respiratory Therapist
License Number8716
License Number StateTN
# 3
Primary TaxonomyN
Taxonomy Code2279E0002X
TaxonomyEmergency Care Registered Respiratory Therapist
License Number8716
License Number StateTN
# 4
Primary TaxonomyN
Taxonomy Code2279P1005X
TaxonomyPulmonary Rehabilitation Registered Respiratory Therapist
License Number8716
License Number StateTN
# 5
Primary TaxonomyN
Taxonomy Code2279E1000X
TaxonomyEducational Registered Respiratory Therapist
License Number8716
License Number StateTN
# 6
Primary TaxonomyN
Taxonomy Code2279H0200X
TaxonomyHome Health Registered Respiratory Therapist
License Number8716
License Number StateTN
# 7
Primary TaxonomyN
Taxonomy Code2279S1500X
TaxonomySNF/Subacute Care Registered Respiratory Therapist
License Number8716
License Number StateTN
# 8
Primary TaxonomyY
Taxonomy Code2279G1100X
TaxonomyGeneral Care Registered Respiratory Therapist
License Number8716
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: