MR. GREGORY BAYARD NELSON (NPI# 1023253036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023253036 |
| Entity Type | Individual |
| Full Name | MR. GREGORY BAYARD NELSON |
| Credential | L.C.O |
| Practice Address |
1660 S Columbian Way Seattle WA 98108-1532 |
| Practice Telephone | 2062774401 |
| Practice Fax Number | 2062771243 |
| Mailing Telephone | 2062774401 |
| Mailing Fax Number | 2062771243 |
| Enumeration Date | 2008-12-04 |
| Last Update Date | 2008-12-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 222Z00000X | Orthotist | OI00000271 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AMERICAN BOARD OF CERTIFICATION P&O | O 1509 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346408341 | Gregory Rueben Nelson | Chiropractor | 26065 Main St, Zimmerman, MN 55398-9347 | 2008-05-27 |
| 1538289947 | Gregory Scott Nelson | Pharmacist | Pharmacy Innovations, 863 Fairmount Ave, Jamestown, NY 14701 | 2007-03-30 |
| 1912086992 | Gregory Floyd Nelson | Chiropractor | 1857 Wooddale Blvd, Baton Rouge, LA 70806-1510 | 2006-11-02 |
| 1457432825 | Gregory T Nelson | Optometrist | 5757a Atlanta Hwy, Montgomery, AL 36117-2150 | 2006-10-18 |
| 1346331345 | Gregory W. Nelson | Psychologist | 1400 Madison Avenue Suite 352, Mankato Clinic Department of Psychiatry and Psychology, Mankato, MN 56001 | 2006-09-27 |
| 1730107970 | Gregory Alan Nelson | Internal Medicine | 6315-17 Stenton Avenue, Philadelphia, PA 19138 | 2006-07-17 |
| 1689616708 | Gregory Paul Nelson | Chiropractor | 17787 Kenwood Trl, Lakeville, MN 55044-9493 | 2006-06-12 |
| 1033105473 | Gregory W Nelson | Chiropractor | 2828 Thousand Oaks Dr, Suite 102, San Antonio, TX 78232-4108 | 2005-09-21 |
| 1497757538 | Gregory Alan Nelson | Psychologist | 1617 S PCh Hwy, Suite F, Redondo Beach, CA 90277-5612 | 2005-08-10 |
| 1619507993 | Gregory Andrew Nelson | Pharmacist | 250 Mchenry St, Burlington, WI 53105-1828 | 2020-01-25 |
| Street Address |
1660 S COLUMBIAN WAY |
| City | SEATTLE |
| State | WA |
| Zip Code | 98108-1532 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194729608 | Charles H Beymer | Internal Medicine | 1660 S Columbian Way, S-111-gastro Va Puget Sound Hcs, Seattle, WA 98108-1532 | 2005-06-13 |
| 1285235309 | Peter B Min | Counselor | 1660 S Columbian Way, Seattle, WA 98108-1532 | 2020-11-04 |
| 1548860299 | Justin William Almeida | Counselor | 1660 S Columbian Way, Seattle, WA 98108-1532 | 2020-10-30 |
| 1528667516 | Nicole Leacock | Registered Nurse | 1660 S Columbian Way, Seattle, WA 98108-1532 | 2020-10-20 |
| 1114525664 | Melissa Anne Janke | Social Worker | 1660 S Columbian Way, Seattle, WA 98108-1532 | 2020-10-15 |
| 1154928109 | Erin Schober | Social Worker | 1660 S Columbian Way, Seattle, WA 98108-1532 | 2020-10-02 |
| 1144835562 | Nora Dinverno | Social Worker | 1660 S Columbian Way, Seattle, WA 98108-1532 | 2020-09-11 |
| 1114539228 | Jessica Greenbaum | Social Worker | 1660 S Columbian Way, Seattle, WA 98108-1532 | 2020-08-19 |
| 1982216420 | Clayton Daniel Kinney | Social Worker | 1660 S Columbian Way, Seattle, WA 98108-1532 | 2020-08-17 |
| 1871103713 | Tara A Crouch | Psychologist | 1660 S Columbian Way, Seattle, WA 98108-1532 | 2020-08-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205468899 | Connie Heath | Counselor | 13044 14th Ave S, Seattle, WA 98108 | 2020-02-11 |
| 1316501216 | Hawa Ramazani Hamadi | Massage Therapist | 8811 2nd Ave S, Seattle, WA 98108 | 2019-04-25 |
| 1306312111 | Noor Ahmad Daftani | Counselor | 4008 Mlk Jr. Way, Seattle, WA 98108 | 2018-10-18 |
| 1346726015 | Erica M Meurk | Counselor | 3016 S Dakota St, Seattle, WA 98108 | 2018-07-16 |
| 1023527892 | Holly Lynn Wickizer | Social Worker | 6160 S. Columbian Way, Seattle, WA 98108 | 2017-09-25 |
| 1053708628 | Flora Feifei Li | Student in an Organized Health Care Education/Training Program | 6200 13th Avenue South, Seattle, WA 98108 | 2015-04-22 |
| 1174869481 | Cheryll J Frazier | Counselor | 1600 S. Columbia Way S-116-wtrc, Seattle, WA 98108 | 2012-12-14 |
| 1831440973 | Blissa Tanaka | Pharmacist | 1660 S. Columbian Way (s-119), Seattle, WA 98108 | 2012-09-28 |
| 1023367968 | Victoria Bozzacco | Registered Nurse | 4515 Martin Luther King Way S, Seattle, WA 98108 | 2012-09-06 |
| 1992053847 | Russell Larder | Registered Nurse | 4515 Martin Luther King Jr Way, Seattle, WA 98108 | 2012-08-27 |
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| Taxonomy Code | 222Z00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Orthotist |
| A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275077851 | Geoffrey Balkman | Orthotist | 501 Eastlake Ave E Ste 300, Seattle, WA 98109-5546 | 2016-12-15 |
| 1427461060 | Donn Oshiro | Orthotist | 650 S Orcas St Ste 100, Seattle, WA 98108-2654 | 2014-06-10 |
| 1003240797 | Patrick Henry Stempski | Orthotist | 501 Eastlake Avenue East, Suite 300, Seattle, WA 98109 | 2013-08-29 |
| 1881882637 | William Maschmeier | Orthotist | 600 Broadway Ste 190, Seattle, WA 98122-5371 | 2007-10-05 |
| 1659439032 | Daniel C. Abrahamson | Orthotist | 501 Eastlake Ave E, Suite 300, Seattle, WA 98109-5546 | 2006-12-05 |
| 1932267531 | Stephanie W. Yoshino | Orthotist | 501 Eastlake Ave East, Suite 300, Seattle, WA 98109-5503 | 2006-12-05 |
| 1275539264 | J Kirk Douglass | Orthotist | 10740 Meridian Ave N, Ste G2, Seattle, WA 98133-9010 | 2005-06-23 |
| 1790318376 | Bryan Gregory Gerhard | Orthotist | 10740 Meridian Ave N Ste G2, Seattle, WA 98133-9010 | 2020-02-21 |
| 1962987099 | Zachary Worthington | Orthotist | 1101 Madison St Ste 550, Seattle, WA 98104-1320 | 2018-09-25 |
| 1083110431 | George Eli Kaufman | Orthotist | 1660 S Columbian Way, Seattle, WA 98108-1532 | 2018-04-04 |
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| 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.