RACHEL K NELLES (NPI# 1073530515) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073530515 |
| Entity Type | Individual |
| Full Name | RACHEL K NELLES |
| Credential | FNP |
| Practice Address |
1702 University Drive South Fargo ND 58103-4940 |
| Mailing Address |
101 Civic Center Ln Attn: Cancer Center Lake Havasu City AZ 86403-5607 |
| Practice Telephone | 7013643300 |
| Mailing Telephone | 9288540094 |
| Mailing Fax Number | 9286808986 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2018-10-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | R24684 | ND | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP8464 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R24684 | ND | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 116637 | 05 | |
| ND | 19636 | 05 | |
| ND | 1462407 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1851 Mesquite Ave, Ste. 202, Lake Havasu City, AZ 864035677 | 9288540094 | 9286808986 |
| Street Address |
1702 UNIVERSITY DRIVE SOUTH |
| City | FARGO |
| State | ND |
| Zip Code | 58103-4940 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518447895 | Rachel May Renner | Physical Therapist | 1702 University Drive South, Fargo, ND 58103-4940 | 2018-08-16 |
| 1356760441 | Lucas Morken | Physical Therapist | 1702 University Drive South, Fargo, ND 58103-4940 | 2014-04-16 |
| 1346479185 | Nivedita Sudhir Nadkarni | Psychiatry & Neurology | 1702 University Drive South, Fargo, ND 58103 | 2009-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659924843 | Amanda Hericks | Dentist | 1338 Gateway Drive S, Fargo, ND 58103 | 2019-07-17 |
| 1285298240 | Ann Louise Breen | Optometrist | Sanford Southpointe Eye Center & Optical, 2400 32nd Ave. S., Fargo, ND 58103 | 2019-04-25 |
| 1245706597 | Lisa Elaine Livingston | Counselor | 1337 14 and Half St. S., Fargo, ND 58103 | 2018-10-15 |
| 1528569662 | Misty Lynn Hagen | Counselor | 901 28th St. South, Suite B, Fargo, ND 58103 | 2018-02-23 |
| 1083133011 | Faith Homecare Professionals LLC | Home Health | 304 25th St S, Suite B, Fargo, ND 58103 | 2017-09-11 |
| 1982138749 | Matthew Troyer | Pharmacist | 2425 13th Ave, Fargo, ND 58103 | 2017-04-18 |
| 1801338504 | Amy Nguyen Christianson | Chiropractor | 1650 45th St S Ste 113, Fargo, ND 58103 | 2016-11-11 |
| 1245772359 | Andrea Marie Hanson | Nurse Practitioner | 2400 32nd Ave South, Fargo, ND 58103 | 2016-11-07 |
| 1831647940 | Abigail Carmen Burkett Vetter | Nurse Practitioner | 2928 University Dr S Suite 101, Fargo, ND 58103 | 2016-09-18 |
| 1013361302 | Nancy Knowlton | Speech-Language Pathologist | 3001 11th Ave S, Beyond Boundaries Speech-language, Fargo, ND 58103 | 2016-04-22 |
| Find all providers in zip 58103 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447872163 | Gina Marie Kinzler | Nurse Practitioner | 4840 23rd Ave S, Fargo, ND 58104-9136 | 2020-05-15 |
| 1669017265 | Haley Faye Wahl | Nurse Practitioner | 761 48th St S, Fargo, ND 58103-7216 | 2019-11-07 |
| 1952882748 | Tonya L Hager | Nurse Practitioner | 1401 32nd St Sw, Fargo, ND 58103-3428 | 2018-08-28 |
| 1295257400 | Nicole L. Mears | Nurse Practitioner | 301 Northern Pacific Ave N, Fargo, ND 58102-4835 | 2017-07-10 |
| 1023491909 | James Troy Upton | Nurse Practitioner | 3000 32nd Avenue, Essentia Health 32nd Avenue Clinic, Fargo, ND 58103-6132 | 2015-07-09 |
| 1437404795 | Melissa Ann Knecht-savey | Nurse Practitioner | 222 Broaway N, Ste. B100e, Fargo, ND 58102-4479 | 2012-07-23 |
| 1457615155 | Chantee Seung Gruenhagen | Nurse Practitioner | 737 North Broadway, Sanford Urology Clinic, Fargo, ND 58122 | 2012-06-27 |
| 1144592486 | Sara B Hansen | Nurse Practitioner | 3955 56th St S Ste D, Fargo, ND 58104-4845 | 2012-02-02 |
| 1740417302 | Beverly Jeanne Greenwald | Nurse Practitioner | 117 22 St S, Fargo, ND 58103 | 2009-06-22 |
| 1104065499 | Tamra A Garberg | Nurse Practitioner | 5257 27th St S Ste 201, Fargo, ND 58104-7782 | 2009-02-11 |
| Find all providers in FARGO | ||||
Please comment or provide details below to improve the information on RACHEL K NELLES.
| 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.