DENNIS NELSON (NPI# 1003197567) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003197567 |
| Entity Type | Individual |
| Full Name | DENNIS NELSON |
| Credential | BS, LADC |
| Practice Address |
2330 Sioux Trl Nw Prior Lake MN 55372-9077 |
| Practice Telephone | 9524966164 |
| Mailing Telephone | 9524966164 |
| Enumeration Date | 2011-08-29 |
| Last Update Date | 2011-08-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
300740 | MN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447708052 | Dennis W Nelson | Pharmacist | 999 N Curtis Rd Ste 102, Boise, ID 83706-1331 | 2016-09-13 |
| 1891070637 | Dennis Marion Nelson | Massage Therapist | 413 Woodfield Dr, Piedmont, SC 29673-8373 | 2011-10-12 |
| 1447238001 | Dennis Nelson | Dentist | 9132 Mason Drive, Newaygo, MI 49337 | 2006-01-04 |
| 1942686373 | Dennis Nelson | Social Worker | 5210 Auth Rd, Suite 205, Suitland, MD 20746-4330 | 2015-08-07 |
| 1205191624 | Dennis B. Nelson | Licensed Practical Nurse | 4241 Highway 14 West, Christopher, IL 62822-0155 | 2012-07-11 |
| 1013148279 | Dennis B. Nelson | Counselor | 4614 N Ih 35, Austin, TX 78751-3401 | 2009-08-05 |
| 1356487342 | Dennis Nelson | Psychologist | 1543 Green Oak Pl, Ste.101, Kingwood, TX 77339-2007 | 2007-01-29 |
| 1851440630 | Dennis Earl Nelson | Psychologist | 530 N Sam Houston Pkwy E, Suite 202, Houston, TX 77060-4038 | 2007-01-09 |
| 1760582357 | Dennis Lynn Nelson | Dentist | 110 Kimball Ave, Suite 230, South Burlington, VT 05403-6833 | 2006-09-23 |
| 1417923798 | Dennis P Nelson | Family Medicine | 1100 East Broadway, Redwood Falls, MN 56283 | 2006-02-27 |
| Street Address |
2330 SIOUX TRL NW |
| City | PRIOR LAKE |
| State | MN |
| Zip Code | 55372-9077 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548264898 | Karl M. Haemig | Dentist | 2330 Sioux Trl Nw, Prior Lake, MN 55372-9077 | 2005-06-01 |
| 1790206126 | Debra Kay Sumner | Dentist | 2330 Sioux Trl Nw, Prior Lake, MN 55372-9077 | 2017-07-06 |
| 1790149268 | Natalie Gomez | Dentist | 2330 Sioux Trl Nw, Prior Lake, MN 55372-9077 | 2016-04-11 |
| 1801290614 | Riley Ostertag | Physician Assistant | 2330 Sioux Trl Nw, Prior Lake, MN 55372-9077 | 2014-10-22 |
| 1447590476 | Karla Weber | Counselor | 2330 Sioux Trl Nw, Prior Lake, MN 55372-9077 | 2013-02-28 |
| 1043591506 | Rachel Grantham | Counselor | 2330 Sioux Trl Nw, Prior Lake, MN 55372-9077 | 2011-08-29 |
| 1316102643 | Sara Rae Betterly Wallen | Optometrist | 2330 Sioux Trl Nw, Prior Lake, MN 55372-9077 | 2008-07-25 |
| 1538327242 | Janet Twomey Mckush | Chiropractor | 2330 Sioux Trl Nw, Prior Lake, MN 55372-9077 | 2008-05-29 |
| 1821183690 | Christine Ann Michael | Radiologic Technologist | 2330 Sioux Trl Nw, Prior Lake, MN 55372-9077 | 2006-10-04 |
| 1083628515 | Sharon K Kettler | Dental Hygienist | 2330 Sioux Trl Nw, Prior Lake, MN 55372-9077 | 2006-07-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043830995 | Abby Lynn Quinnell | Physician Assistant | 19455 Towering Oaks Trl, Prior Lake, MN 55372 | 2020-04-21 |
| 1659914547 | Touching Lives Community, Inc. | Assisted Living Facility | 5554 Woodside Road, Se, Prior Lake, MN 55372 | 2019-10-23 |
| 1366961542 | Doreen Lubi Isubikalu | Family Medicine | 2330 Sioux Trail Nw, Prior Lake, MN 55372 | 2017-09-19 |
| 1760909519 | Terese Marie Sovis | Massage Therapist | 15140 Green Oaks Trail, Prior Lake, MN 55372 | 2017-08-23 |
| 1689805301 | Laura Grace Patton | Physician Assistant | 4151 Willowwood Street Se, Prior Lake, MN 55372 | 2009-07-29 |
| 1952582702 | Lilah Suzan Ekim Dds, Ms. Pllc | Dentist | 16190 Erie Ave Se, Prior Lake, MN 55372 | 2007-11-21 |
| 1679618326 | Basile Orthodontics Pa | Dentist | 5116 Gateway Street Se #103, Suite #103, Prior Lake, MN 55372 | 2007-02-20 |
| 1700890134 | Shakopee Mdewakanton Emergency Services | Ambulance | 2525 Flandreau Trail, Prior Lake, MN 55372 | 2006-07-28 |
| 1548299167 | Darlene Merchant | Psychologist | 15815 Franklin Trail S.e., Suite 308 Darlene Merchant, M.a., L.p., Prior Lake, MN 55372 | 2006-07-03 |
| 1508806530 | Kelly Brooks | Nurse Anesthetist, Certified Registered | 3564 Willow Beach St Sw, Prior Lake, MN 55372 | 2006-06-07 |
| Find all providers in zip 55372 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780929547 | Kelly Willmott | Counselor | 16221 Main Ave Se, Suite 102, Prior Lake, MN 55372-1777 | 2012-12-05 |
| 1316241813 | Erinn Kroeger | Counselor | 4769 Dakota St Se, Suite 2, Prior Lake, MN 55372-1797 | 2010-12-27 |
| 1417037060 | Loren E. Novak & Associates, Inc. | Counselor | 14162 Commerce Ave Ne, Suite 400, Prior Lake, MN 55372-1480 | 2006-10-17 |
| 1922424407 | Allen Jerome Johnson | Counselor | 14162 Commerce Ave Ne, Prior Lake, MN 55372-1480 | 2014-03-09 |
| 1447590476 | Karla Weber | Counselor | 2330 Sioux Trl Nw, Prior Lake, MN 55372-9077 | 2013-02-28 |
| 1043591506 | Rachel Grantham | Counselor | 2330 Sioux Trl Nw, Prior Lake, MN 55372-9077 | 2011-08-29 |
| 1255623773 | Kala Counseling Services | Counselor | 4769 Dakota St Se, Suite 2, Prior Lake, MN 55372-1797 | 2011-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386456 | Alexandra Lloyd Conroy | Counselor | 3227 Lake Shore Boulevard, Minnetonka, MN 55391 | 2020-11-07 |
| 1134720212 | Rachel Renee Przekwas | Counselor | 216 Center St W Ste 101, Roseau, MN 56751-1494 | 2020-11-04 |
| 1568062461 | Andrew Moe | Counselor | 2118 Blaisdell Ave S., Minneapolis, MN 55404 | 2020-10-29 |
| 1215537477 | Hannah Mae Kidder | Counselor | 1605 Welcome Ave N, Golden Valley, MN 55422-4429 | 2020-10-27 |
| 1649879339 | Jordan Lowe | Counselor | 4615 Grand Ave Ste 300, Duluth, MN 55807-2749 | 2020-10-22 |
| 1417556762 | Jacob R Poppinga | Counselor | 13045 Falcon Dr Ste 7404th, Baxter, MN 56425-4201 | 2020-10-19 |
| 1598362014 | Jeremy Krekula | Counselor | 102 Main St N Ste 100, Stewartville, MN 55976-2608 | 2020-10-07 |
| 1235736786 | Catherine Ann Jaksha | Counselor | 1180 Cushing Cir Apt 217, Saint Paul, MN 55108-5016 | 2020-10-07 |
| 1952908881 | Sutton Outpatient Services, LLC | Counselor | 1700 Livingston Ave Ste 120, West St Paul, MN 55118-5938 | 2020-10-05 |
| 1750998423 | Recovery Alliance Duluth | Counselor | 206 W 4th St Ste 203, Duluth, MN 55806-2659 | 2020-09-28 |
| Find all providers with the same taxonomy | ||||
| City | PRIOR LAKE |
| Zip Code | 55372 |
Please comment or provide details below to improve the information on DENNIS NELSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.