KARL ALEXANDER NIELSON (NPI# 1144885658) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1144885658 |
Entity Type | Individual |
Full Name | KARL ALEXANDER NIELSON |
Credential | DO |
Practice Address |
Travis Afb Fairfield, Ca Apo AA 94535 |
Mailing Address |
2315 Stockton Blvd Sacramento CA 95817-2201 |
Practice Telephone | 7074235180 |
Enumeration Date | 2019-05-09 |
Last Update Date | 2019-05-09 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Address | Telephone Number | Fax Number |
---|---|---|
2315 Stockton Blvd, Sacramento, CA 958172201 | 7074235180 |
Street Address |
TRAVIS AFB FAIRFIELD, CA |
City | APO |
State | AA |
Zip Code | 94535 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508487711 | Sheila C Flood | Student in an Organized Health Care Education/Training Program | 101 Biden Circle, Fairfield, CA 94535 | 2020-04-28 |
1568081255 | Miguel Julian Moreno | Student in an Organized Health Care Education/Training Program | 690 Airmen Drive, Travis Afb, CA 94535 | 2020-04-13 |
1174096101 | Zlatoslava Karga | Nurse Practitioner | 60mdg / Sgow, 101 Bodin Circle, Travis Afb, CA 94535 | 2019-01-02 |
1437648292 | Luke C Vera | Dentist | David Grant Medical Center 101 Bodin Circle, Travis Air Force Base, CA 94535 | 2018-05-08 |
1588163430 | Sanaz Ziad | Pharmacist | 60mdg/mdts, 101 Bodin Circle, Travis Afb, CA 94535 | 2018-02-06 |
1194265686 | Geoffrey Johnston | Dentist | 60 Mdg/sgdd, 101 Bodin Circle, Travis Afb, CA 94535 | 2017-03-02 |
1336693407 | Hannah Isla Nordwall | Social Worker | 60 Mdg/mdos 101 Bodin Cir, Travis Afb, CA 94535 | 2016-08-06 |
1184177149 | Taylor Murrie-robinson | Social Worker | 60mdg / Sgow Mental Health Clinic, 101 Bodin Circle, Travis Afb, CA 94535 | 2016-07-26 |
1952759607 | Eric Kincaid-sharp | General Practice | 60 Mdg/amds, 101 Bodin Cir, Travis Afb, CA 94535 | 2016-06-02 |
1023472040 | Genieve Marie Martinez-hernandez | Internal Medicine | 60 Mdg/sgomi, 101 Bodin Circle, Fairfield, CA 94535 | 2016-04-06 |
Find all providers in zip 94535 |
Taxonomy Code | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
Notes: [1/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124657382 | Logan Michael Dilik | Student in an Organized Health Care Education/Training Program | 88th Dental Squadron, 4881 Sugar Maple Drive, Apo, AA 45433-5529 | 2020-04-08 |
1417519349 | Peter Hwang | Student in an Organized Health Care Education/Training Program | 618th Dental Co, Carius Dental Clinic, Bldg# P3020 Attn: Credentials Office, Apo, AP 96271-5245 | 2019-07-01 |
1770143711 | Michelle Alexandra Engel | Student in an Organized Health Care Education/Training Program | Twentynine Palms Marine Base, 1591, Apo, AA 92278 | 2019-06-20 |
1124687108 | Dana Martin Poloni | Student in an Organized Health Care Education/Training Program | General Surgery, Dwight D Eisenhower Army Medical Cent, 300 East Hospital Road, Apo, AA 30905-5650 | 2019-06-12 |
1649836123 | Benjamin Truong | Student in an Organized Health Care Education/Training Program | Scott Air Force Base, 307 West Losey Street Building #1535, Apo, AA 62225 | 2019-05-10 |
1558925669 | Brian Ng | Student in an Organized Health Care Education/Training Program | South Drive, Scott Afb, Illinois, Apo, AA 62225 | 2019-04-24 |
1417440306 | Colt Sicher | Student in an Organized Health Care Education/Training Program | 96th Dental Squadron (afmc), Eglin Afb, Fl 32542, Apo, AA 32542 | 2018-06-14 |
1649773854 | Monica Rani O'mahony | Student in an Organized Health Care Education/Training Program | 3d Maint Bn, Unit 38422, Apo, AP 96380 | 2018-03-14 |
1164958617 | David Miller | Student in an Organized Health Care Education/Training Program | Psc 41 Box 3787, Apo, AE 09464-3787 | 2017-05-03 |
1952836678 | David J Ahn | Student in an Organized Health Care Education/Training Program | Unit 15190 Box Pyongtaek, Apo, AP 96271 | 2017-05-01 |
Find all providers in APO |
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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.