WENDY E NELSON


Address: 1003 Willow Creek Rd, Prescott, AZ 86301-1668
Phone: 9284452700

WENDY E NELSON (NPI# 1083211320) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083211320
Entity Type Individual
Full Name WENDY E NELSON
Other Name WENDY E ALFONSO
Practice Address 1003 Willow Creek Rd
Prescott
AZ 86301-1668
Practice Telephone 9284452700
Mailing Telephone 9284452700
Enumeration Date 2020-10-08
Last Update Date 2020-10-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered Dietary & Nutritional Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
COMMISSION ON DIETETIC REGISTRATION 1031044 01

Other Providers WENDY NELSON

NPI Name Taxonomy Address Enumeration
1356838908 Wendy Lee Nelson Physical Therapy Assistant 5732 Flora Ave, Holiday, FL 34690-6562 2018-04-19
1457507576 Wendy Alice Nelson Nurse Practitioner 757 Westwood Plz Ste 2146, Los Angeles, CA 90095-0001 2008-08-08
1285659821 Wendy C Nelson Physical Therapist 2846 Moody Pkwy, Ste 200, Moody, AL 35004-3328 2006-07-13
1497215768 Wendy Mercedes Nelson Registered Nurse 13501 Ne 28th St, Vancouver, WA 98682-8091 2019-03-22
1205380961 Wendy Lynn Nelson Speech-Language Pathologist 528 E Spokane Falls Blvd, Suite 502, Spokane, WA 99202-5081 2016-08-11
1548693914 Wendy Nicole Nelson Registered Nurse 300 W Oak St, Cottage Grove, WI 53527-9118 2013-08-20
1881036275 Wendy Nelson Social Worker 60 N Broadway St, Blackfoot, ID 83221-2706 2013-07-25
1104076462 Wendy J Nelson Nurse Practitioner 8851 Center Dr, Suite 500, La Mesa, CA 91942-3017 2008-09-23
1124239702 Wendy Nelson Counselor 700 E 9th Ave, Denver, CO 80203-3360 2007-05-24
1083822258 Wendy Elizabeth Nelson Counselor 124 W 79th St, Suite 1b, New York, NY 10024-6470 2007-05-19

Office Location

Street Address 1003 WILLOW CREEK RD
City PRESCOTT
State AZ
Zip Code 86301-1668

Providers in the same location

NPI Name Taxonomy Address Enumeration
1174528343 Robert William Halterman Family Medicine 1003 Willow Creek Rd, Prescott, AZ 86301-1641 2005-06-15
1750909008 Shawn Jeffery Mitchell Nurse Practitioner 1003 Willow Creek Rd, Prescott, AZ 86301-1641 2020-07-13
1669019683 Justin Earl Rogers Nurse Practitioner 1003 Willow Creek Rd, Prescott, AZ 86301-1641 2019-12-09
1477116911 Anna Mattson Nurse Practitioner 1003 Willow Creek Rd, Prescott, AZ 86301-1641 2019-04-19
1790276608 Phillip Allen Schafer Nurse Practitioner 1003 Willow Creek Rd, Prescott, AZ 86301 2018-05-25
1144724618 Richard Barclay Thompson Respiratory Therapist, Registered 1003 Willow Creek Rd, Prescott, AZ 86301-1641 2018-03-20
1245774397 Stephen Green Physician Assistant 1003 Willow Creek Rd, Prescott, AZ 86301-1641 2016-12-08
1427500107 Zachary Archer Perfusionist 1003 Willow Creek Rd, Prescott, AZ 86301-1641 2016-10-28
1952753675 Candice Panton Nurse Practitioner 1003 Willow Creek Rd, Prescott, AZ 86301-1641 2016-07-06
1457701468 Tetyana Missey Nurse Practitioner 1003 Willow Creek Rd, Prescott, AZ 86301 2016-06-21
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1871102350 Dove Marie Gundermann Specialist/Technologist 300 W. Gurley St, Prescott, AZ 86301 2020-07-30
1639712110 Arizona Orthopedic Physical Therapy, Pllc Clinic/Center 1781 E State Highway 69, Suite 28, Prescott, AZ 86301 2019-10-28
1538714092 Prescott Complete Care Family Medicine 1947 Commerce Center Circle, Suite A, Prescott, AZ 86301 2019-08-01
1336612571 Sarah Elizabeth Elliott Registered Nurse 500 Az 89, Prescott, AZ 86301 2019-01-10
1912484270 Asya Ruth Perkins Counselor 225 Grove Avenue, Prescott, AZ 86301 2018-07-19
1396241394 Jerome Alexander Longoria Chiropractor 142 N. Rush St, Prescott, AZ 86301 2018-03-30
1619487675 Yavapai Healthcare Group LLC Nurse Practitioner 999 Division Street, Prescott, AZ 86301 2017-10-04
1053835843 United States Veterans Initiative Counselor 917 E Gurley St, Prescott, AZ 86301 2017-08-02
1164896999 Spitler - Lilley, LLC Hearing Instrument Specialist 1781 E. State Rte 69, Suite 65, Prescott, AZ 86301 2015-11-17
1275925265 Oral and Facial Surgery Center of Prescott Dentist 5415 Distiction Way, Prescott, AZ 86301 2015-02-27
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Taxonomy Information

Taxonomy Code 133V00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered

Taxonomy Definition

A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration.
Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1326549171 Kylie Nicole Crowe Dietitian, Registered 3120 Rainbow Ridge Dr, Prescott, AZ 86303-5767 2018-02-27
1225457146 Kathryn Kimball Dietitian, Registered 3181 Clearwater Drive, Suite B, Prescott, AZ 86305-7715 2014-04-08
1497859805 Denise Perry Dietitian, Registered 500 Highway 89n, Va Medical Center, Prescott, AZ 86313 2006-09-08
1245348408 George Mark Coram Dietitian, Registered Navahcs 500 N Hwy 89, Prescott, AZ 86313 2006-08-28
1740829456 Jessica Folts Dietitian, Registered 500 N Us Highway 89, Prescott, AZ 86313-5001 2019-12-27
1578102570 Lisa Phillips Dietitian, Registered 500 N Us Highway 89, Prescott, AZ 86313-5001 2019-12-23
1275193880 Jerad Martel Miles Dietitian, Registered 500 Az-89, Prescott, AZ 86301 2019-06-17
1295222529 Jason P Olig Dietitian, Registered 500 N State Route 89, Prescott, AZ 86313-5001 2018-04-23
1295192789 Rebecca Kraxberger Dietitian, Registered 1003 Willow Creek Rd, Prescott, AZ 86301-1641 2016-01-28
1316319064 Motoko Fanning Dietitian, Registered 1003 Willow Creek Rd, Prescott, AZ 86314 2015-10-21
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Competitor

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City PRESCOTT
Zip Code 86301

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Dataset Information

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.

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