JUDITH M. NELSON (NPI# 1154333185) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154333185 |
| Entity Type | Individual |
| Full Name | JUDITH M. NELSON |
| Credential | RN, CNS |
| Practice Address |
6401 University Ave Ne Suite 304 Fridley MN 55432-4341 |
| Mailing Address |
2497 7th Ave E Suite 101 Saint Paul MN 55109-2902 |
| Practice Telephone | 6517696250 |
| Practice Fax Number | 6517696299 |
| Mailing Telephone | 6517696437 |
| Mailing Fax Number | 6517696426 |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SP0808X |
Clinical Nurse Specialist Specialization: Psych/Mental Health |
R0602893 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 058755900 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912172248 | Judith A Nelson | Registered Nurse | N7116 County Road E, Plymouth, WI 53073 | 2008-04-28 |
| 1336286178 | Judith Kay Nelson | Social Worker | 2110 6th St, Berkeley, CA 94710-2243 | 2007-01-31 |
| 1346549946 | Judith A Nelson | Marriage & Family Therapist | 14340 Torrey Chase Blvd, Suite 325, Houston, TX 77014-1021 | 2011-03-22 |
| 1609081785 | Judith A Nelson | Psychologist | 102 E Lake Mead Pkwy, Henderson, NV 89015-5575 | 2007-05-11 |
| 1467537274 | Judith Lee Nelson | Internal Medicine | University of Washington Medical Ctr, 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2006-10-27 |
| 1194838649 | Judith Nelson | Social Worker | 1001 Rohlwing Rd, Elk Grove Village, IL 60007-3217 | 2006-08-17 |
| 1760405567 | Judith Mills Nelson | Physician Assistant | 10475 Centurion Pkwy N, Suite 303, Jacksonville, FL 32256-5003 | 2006-07-25 |
| 1225057342 | Judith E Nelson | Internal Medicine | 5 East 98th Street, 10th Floor Bo Mount Sinai Hospital Pulmonary, New York, NY 10029 | 2006-07-19 |
| 1770580177 | Judith D Nelson | Nurse Practitioner | 20 S Plum St, Vermillion, SD 57069 | 2005-06-30 |
| Street Address |
6401 UNIVERSITY AVE NE SUITE 304 |
| City | FRIDLEY |
| State | MN |
| Zip Code | 55432-4341 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669433207 | Cecil Emerson Bassett | Obstetrics & Gynecology | 6401 University Ave Ne, Fridley, MN 55432-4341 | 2006-03-31 |
| 1902430960 | Gloria Jean Nance | Community Health Worker | 6401 University Ave Ne, Fridley, MN 55432-4341 | 2020-02-28 |
| 1144616509 | Fairview Express Care | Internal Medicine | 6401 University Ave Ne, Second Floor, Fridley, MN 55432-4341 | 2015-04-13 |
| 1417365479 | Matthew Sorensen | Physical Therapist | 6401 University Ave Ne, Fridley, MN 55432-4341 | 2014-07-22 |
| 1922361328 | Amanda Kathryn Hilligoss | Physical Therapist | 6401 University Ave Ne, Fridley, MN 55432-4320 | 2012-06-20 |
| 1659674364 | John F. Bartels | Physical Therapist | 6401 University Ave Ne, Fridley, MN 55432-4341 | 2010-12-20 |
| 1073829750 | Amy Moore | Registered Nurse | 6401 University Ave Ne, Suite 100, Fridley, MN 55432-4341 | 2010-08-19 |
| 1295061935 | Deborah Lynn Elsen | Registered Nurse | 6401 University Ave Ne, #200, Fridley, MN 55432-4341 | 2009-10-31 |
| 1902039548 | Lisa Gail Brown | Dietitian, Registered | 6401 University Ave Ne, Suite 200, Fridley, MN 55432-4341 | 2009-08-31 |
| 1811123516 | Anthony J Flink | Physical Therapy Assistant | 6401 University Ave Ne, 105, Fridley, MN 55432-4341 | 2009-06-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336791177 | Adelyn Ruth Kopp | Occupational Therapist | 500 Osborne Rd Ne Suite 365, Fridley, MN 55432 | 2019-07-11 |
| 1831665603 | White Smiles Family Dentistry Pllc | Dentist | 1611 County Hwy 10, Minneapolis, MN 55432 | 2018-10-19 |
| 1518402213 | Peaceful Adult Day Center LLC. | Home Health | 6267 University Ave Ne, Fridley, MN 55432 | 2017-01-04 |
| 1205383742 | Farhiya Mahamud Gelle I | Durable Medical Equipment & Medical Supplies | 6329 5th Street Ne Apt 8, Fridley, MN 55432 | 2016-09-01 |
| 1093163164 | Christiane Schwecke | Specialist/Technologist | 8290 University Ave N, Fridley, MN 55432 | 2016-05-31 |
| 1336551563 | Amy White Mountain | Massage Therapist | 1611 County Hwy 10 Ne, Spring Lake Park, MN 55432 | 2014-05-22 |
| 1942629795 | Shane O'neil | Dermatology | 500 Osborne Rd Ne Ste 330, Fridley, MN 55432 | 2014-04-09 |
| 1952648180 | John Franklyn Marshall | Family Medicine | 480 Osborne Road Ne, Suite 100, Fridley, MN 55432 | 2013-01-08 |
| 1558610519 | Novacare Outpatient Rehabilitation East Inc | Clinic/Center | 480 Osborne Road, Number 280, Fridley, MN 55432 | 2012-09-06 |
| 1336423391 | Christian Restoration Services | Counselor | 7157 Commerce Circle W, Fridley, MN 55432 | 2011-10-07 |
| Find all providers in zip 55432 | ||||
| Taxonomy Code | 364SP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730542572 | Iris Reproductive Psychiatric Clinic | Clinical Nurse Specialist | 1500 Mcandrews Road W, Ste 227, Burnsville, MN 55337 | 2016-03-30 |
| 1922159680 | Kristie Lee Sward | Clinical Nurse Specialist | 160 Kellogg Blvd E Ste 8200, Saint Paul, MN 55101-1420 | 2007-01-16 |
| 1447333513 | Karen Sue Finck | Clinical Nurse Specialist | 615 1st Ave Ne, Suite 310, Minneapolis, MN 55413-2447 | 2006-10-23 |
| 1548289259 | Judith Hilary Weis | Clinical Nurse Specialist | 27 1st St Sw, Crosby, MN 56441-1417 | 2006-07-19 |
| 1184170383 | Jessica Michelle Cadriel | Clinical Nurse Specialist | 100 Freeman Dr, Saint Peter, MN 56082-3504 | 2016-08-28 |
| 1790138550 | Katy Jean Srock | Clinical Nurse Specialist | 520 Nw 5th St, Brainerd, MN 56401-2902 | 2016-07-18 |
| 1063864395 | Sherryl St.martin | Clinical Nurse Specialist | 3101 Superior Dr Nw, Rochester, MN 55901-1993 | 2016-07-11 |
| 1386099505 | Luke Schwartz Moretti | Clinical Nurse Specialist | 2450 Riverside Ave, 6a East, Minneapolis, MN 55454-1450 | 2016-04-25 |
| 1053771428 | Psychnurse P.C. | Clinical Nurse Specialist | 3000 County Road 42 W, Suite 210, Burnsville, MN 55337-4824 | 2016-02-29 |
| 1396100046 | Jamie Lynn Giles | Clinical Nurse Specialist | 3021 Harbor Ln N, Suite 206, Plymouth, MN 55447-5109 | 2015-12-23 |
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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.