SCOTT NELSON (NPI# 1003218611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003218611 |
| Entity Type | Individual |
| Full Name | SCOTT NELSON |
| Practice Address |
11102 Sunrise Blvd E Ste 103 Puyallup WA 98374-8846 |
| Mailing Address |
15217 105th Avenue Ct E Puyallup WA 98374-9748 |
| Practice Telephone | 2538488797 |
| Enumeration Date | 2014-09-25 |
| Last Update Date | 2015-09-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA60597789 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851848162 | Scott Edwin Nelson | Physician Assistant | 77 W Coolidge St Apt 135, Phoenix, AZ 85013-2739 | 2016-09-02 |
| 1912249228 | Scott Edward Nelson | Psychiatry & Neurology | 3515 E Fletcher Ave # 14, Tampa, FL 33613 | 2013-03-25 |
| 1164551933 | Scott Lester Nelson | Psychologist | 3300 Irvine Ave, Suite 111, Newport Beach, CA 92660-3109 | 2007-03-05 |
| 1134268626 | Scott Bruce Nelson | Psychologist | 855 W 8th Ave, Mesa, AZ 85210-3401 | 2007-02-05 |
| 1447312657 | Scott L Nelson | Nurse Practitioner | 1106 South St, Nacogdoches, TX 75964-5986 | 2006-12-14 |
| 1336211408 | Scott J. Nelson | Dentist | 427 Centerstone Ct, Zeeland, MI 49464-2247 | 2006-11-14 |
| 1770681231 | Scott Dee Nelson | Chiropractor | 260 N Broadway St, Blackfoot, ID 83221-2224 | 2006-09-20 |
| 1356444673 | Scott Brian Nelson | Anesthesiology | 400 E Pioneer Ste 208, Puyallup, WA 98372-3257 | 2006-09-06 |
| 1578522892 | Scott Nelson | Psychiatry & Neurology | 1881 Conejo Dr, Santa Fe, NM 87505 | 2006-03-23 |
| 1679558001 | Scott W Nelson | Chiropractor | 423 4th St Sw, Suite A, Mason City, IA 50401-3836 | 2005-12-08 |
| Street Address |
11102 SUNRISE BLVD E STE 103 |
| City | PUYALLUP |
| State | WA |
| Zip Code | 98374-8846 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285612879 | Ted Coleman | Emergency Medicine | 11102 Sunrise Blvd E, Suite 103, Puyallup, WA 98374 | 2006-01-04 |
| 1669906376 | James Luzzo | Nurse Practitioner | 11102 Sunrise Blvd E, Suite 103, Puyallup, WA 98374-8846 | 2017-04-19 |
| 1558716043 | Emily Winn | Nurse Practitioner | 11102 Sunrise Blvd E, Suite 103, Puyallup, WA 98374-8846 | 2016-05-03 |
| 1033587944 | Rn Sunrise Operations LLC | Dietitian, Registered | 11102 Sunrise Blvd E, Suite 102, Puyallup, WA 98374-8846 | 2015-09-09 |
| 1801293949 | Devyn Catherine Cameron | Nurse Practitioner | 11102 Sunrise Blvd E, Suite 103, Puyallup, WA 98374-8846 | 2014-12-03 |
| 1548685902 | Robert Rex Williams | Physician Assistant | 11102 Sunrise Blvd E, Ste 103, Puyallup, WA 98374-8846 | 2014-02-21 |
| 1477982700 | Melissa Bronoske | Physician Assistant | 11102 Sunrise Blvd E, Ste 103, Puyallup, WA 98374-8846 | 2013-11-07 |
| 1417395385 | Shannon Lee Moore | Nurse Practitioner | 11102 Sunrise Blvd E, Ste #110, Puyallup, WA 98374-8846 | 2013-06-12 |
| 1902113038 | Teresa Irene Garrison | Nurse Practitioner | 11102 Sunrise Blvd E, Suite 103, Puyallup, WA 98374-8846 | 2010-09-10 |
| 1710219621 | James H.n. Mcpherson | Physician Assistant | 11102 Sunrise Blvd E, Suite 103, Puyallup, WA 98374 | 2010-02-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073173977 | Courtney Yant | Registered Nurse | 300 3rd St Se, Puyallup, WA 98374 | 2019-06-13 |
| 1013480508 | Tracy Pina | Massage Therapist | 16909 123rd Ave E, Puyallup, WA 98374 | 2019-01-07 |
| 1922524917 | Edith M Wood | Registered Nurse | 13517 152nd St Ct E, Puyallup, WA 98374 | 2017-08-21 |
| 1669875993 | Jillian C S Longway | Registered Nurse | 11102 Sunrise Blvd E Ste 103, Puyallup, WA 98374 | 2014-10-01 |
| 1427302025 | Nadeem Jaffer | Internal Medicine | 3800 3rd St. Se, Puyallup, WA 98374 | 2012-11-04 |
| 1851605356 | Madigan Army Medical Ctr | Clinic/Center | 15600 Meridan Ave, Sunrise Village Center, East Puyallup, WA 98374 | 2010-07-27 |
| 1326368135 | Matt Karl Jahns | Massage Therapist | 2402 20th St Se, Puyallup, WA 98374 | 2010-06-03 |
| 1982833208 | Roxy Sturgeon | Speech-Language Pathologist | 2309 43rd Ave Se, Puyallup, WA 98374 | 2009-07-08 |
| 1497921191 | Morgan Counseling Services Inc. | Substance Abuse Rehabilitation Facility | 10312 120th Street East, Suite #3, Puyallup, WA 98374 | 2008-05-02 |
| 1700055795 | Walter Royal Patterson Jr. | Registered Nurse | 11102 Sunrise Blvd. E., Ste. 103, Woodcreek Healthcare, Puyallup, WA 98374 | 2008-02-25 |
| Find all providers in zip 98374 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417068263 | Suzanne M Richardson | Physician Assistant | 11216 Sunrise Blvd E Ste 3-102, Puyallup, WA 98374-8848 | 2006-08-31 |
| 1073525424 | Jessica Sawyer | Physician Assistant | 3850 S Meridian, Puyallup, WA 98373-3701 | 2006-08-13 |
| 1134140262 | Karl Herbert Hilsenberg | Physician Assistant | 3801 5th Street Se, Suite 110, Puyallup, WA 98374 | 2006-07-22 |
| 1609834027 | Kevin Bernard Finnigan | Physician Assistant | 17926 69th Ave E, Puyallup, WA 98375-2474 | 2006-05-03 |
| 1720540867 | Jonathan Kendrick Lam | Physician Assistant | 2508 7th St Se, Puyallup, WA 98374-1105 | 2019-04-05 |
| 1457741688 | Kyle Lewis | Physician Assistant | 11216 Sunrise Blvd E, Ste 3-207, Puyallup, WA 98374-8848 | 2015-01-26 |
| 1548685902 | Robert Rex Williams | Physician Assistant | 11102 Sunrise Blvd E, Ste 103, Puyallup, WA 98374-8846 | 2014-02-21 |
| 1477982700 | Melissa Bronoske | Physician Assistant | 11102 Sunrise Blvd E, Ste 103, Puyallup, WA 98374-8846 | 2013-11-07 |
| 1346522752 | Ngim C Carmichael | Physician Assistant | 3908 10th St Se, Puyallup, WA 98374-2188 | 2011-09-12 |
| 1669708277 | Elizabeth Rose Abecassis | Physician Assistant | 1519 3rd St Se Ste 230, Puyallup, WA 98372-3742 | 2009-11-02 |
| Find all providers in PUYALLUP | ||||
Please comment or provide details below to improve the information on SCOTT 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.