KELLY ANN NELSON (NPI# 1164081451) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164081451 |
Entity Type | Individual |
Full Name | KELLY ANN NELSON |
Credential | ARNP |
Practice Address |
825 Eastlake Ave E Seattle WA 98109-4405 |
Mailing Address |
Po Box 50095 Seattle WA 98145-5095 |
Practice Telephone | 2065205000 |
Mailing Telephone | 2065205700 |
Enumeration Date | 2019-06-10 |
Last Update Date | 2019-07-18 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | AP60968138 | WA | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
AP60968138 | WA | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | 1164081451 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720639917 | Kelly Marie Nelson | Counselor | 205 Delway St Unit A, Raleigh, NC 27604-1131 | 2019-09-27 |
1669963344 | Kelly Nicole Nelson | Registered Nurse | 8800 Washington Ave Ste 200, Mount Pleasant, WI 53406 | 2018-05-29 |
1114301892 | Kelly Nelson | Speech-Language Pathologist | 847 N Marshfield Ave # 1f, Chicago, IL 60622-5132 | 2015-07-13 |
1508294000 | Kelly Caroline Nelson | Nurse Practitioner | 740 S Limestone Rm J442, Lexington, KY 40536-0001 | 2013-10-18 |
1417223371 | Kelly M Nelson | Social Worker | 11708 Wayzata Blvd, Minnetonka, MN 55305-2014 | 2012-03-26 |
1881826717 | Kelly Nelson | Occupational Therapist | 3124 Cambridge Cir, Allentown, PA 18104-2827 | 2009-08-11 |
1164682845 | Kelly Dyan Nelson | Developmental Therapist | 10606 Sycamore Grn, Louisville, KY 40223-2945 | 2008-06-16 |
1679638977 | Kelly Cobb Nelson | Occupational Therapist | 1203 Bombay Ln, Roswell, GA 30076-5822 | 2006-12-27 |
1265032643 | Kelly Nelson | Pharmacist | 10270 Front Beach Rd, Panama City Beach, FL 32407-3808 | 2020-10-27 |
1598231342 | Kelly Arbor Nelson | Physical Therapist | 407 East Third Street, Duluth, MN 55805-1950 | 2018-10-19 |
Street Address |
825 EASTLAKE AVE E |
City | SEATTLE |
State | WA |
Zip Code | 98109-4405 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386637288 | Stephen J Lemon | Internal Medicine | 825 Eastlake Ave E, Seattle, WA 98109-4405 | 2005-08-25 |
1306447834 | Saaiqa Maredia Momin | Pharmacist | 825 Eastlake Ave E, Seattle, WA 98109-4405 | 2020-11-02 |
1154921849 | Kenneth Tham | Pharmacist | 825 Eastlake Ave E, Seattle, WA 98109-4405 | 2020-10-30 |
1023625498 | Ivan Jiayong Huang | Pharmacist | 825 Eastlake Ave E, Seattle, WA 98109-4405 | 2020-09-29 |
1710599378 | Christine Gleason | Nurse Practitioner | 825 Eastlake Ave E, Seattle, WA 98109-4405 | 2020-08-17 |
1962023374 | Deeter Ryan Neumann | Pharmacist | 825 Eastlake Ave E, Seattle, WA 98109-4405 | 2020-04-27 |
1083234595 | Sydney Lee Smith | Pharmacist | 825 Eastlake Ave E, Seattle, WA 98109-4405 | 2020-04-24 |
1629698154 | Andrew Thomas Ruplin | Pharmacist | 825 Eastlake Ave E, Seattle, WA 98109-4405 | 2020-04-24 |
1396365300 | Kikkeri N Naresh | Pathology | 825 Eastlake Ave E, Seattle, WA 98109-4405 | 2020-04-20 |
1942820220 | Arianne Duong | Pharmacist | 825 Eastlake Ave E, Seattle, WA 98109-4405 | 2020-04-16 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710590179 | Direct Urgent Care Inc | Internal Medicine | 220 6th Avenue North, Seattle, WA 98109 | 2020-08-26 |
1073147104 | Hannah Christine Hoyt | Registered Nurse | 1354 Aloha St, Seattle, WA 98109 | 2020-02-27 |
1508402645 | Emily Elizabeth Rock | Counselor | Rain City Integrative Clinic, 2730 Westlake Ave N, Seattle, WA 98109 | 2019-11-25 |
1770048464 | Roger Leach | Massage Therapist | 4162, Roy Street, Seattle, WA 98109 | 2019-02-06 |
1306316658 | Laura Katie Richer | Counselor | 1817 Queen Anne Ave. N., 204, Seattle, WA 98109 | 2018-11-29 |
1912492828 | One Medical Group of Washington, P.C. | Psychologist | 625 Boren Avenue North, Seattle, WA 98109 | 2018-06-25 |
1942793526 | Washington Dental Corporation, PC | Dentist | 527 Boren Ave N, Seattle, WA 98109 | 2018-06-08 |
1417449968 | Chelsie Mccalla | Occupational Therapy Assistant | Mirabella, 116 Fairview Ave N, Seattle, Seattle, WA 98109 | 2018-05-31 |
1710405964 | Next Level Sports Performance Consulting | Clinic/Center | 24 Roy Street, #461, Seattle, WA 98109 | 2017-09-07 |
1679091953 | Amy Ly Indorf | Pharmacist | 825 Eastlake Ave E #msg5-90, Seattle, WA 98109 | 2017-09-06 |
Find all providers in zip 98109 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821642026 | Elizabeth Nicole Firmin | Nurse Practitioner | 317 Ne Thornton Pl, Seattle, WA 98125-8020 | 2019-07-26 |
1508309824 | Amanda Erin Norton | Nurse Practitioner | 2424 Sw Andover St, Seattle, WA 98106-1100 | 2016-11-18 |
1467902452 | Integrative Musculoskeletal Medicine and Wellness, LLC | Nurse Practitioner | 5620 Rainier Ave S, Seattle, WA 98118-2498 | 2016-10-13 |
1477917086 | Soojeong Han | Nurse Practitioner | 1128 Ne 41st St, Cedar Apartments E305, Seattle, WA 98105-6373 | 2016-04-09 |
1700248994 | Claudia Curea | Nurse Practitioner | 325 9th Ave # 359829, Seattle, WA 98104-2420 | 2016-03-25 |
1457724775 | Birgit Pedersen Weeks | Nurse Practitioner | 3909 49th Ave Ne, Seattle, WA 98105-5252 | 2015-11-09 |
1114398476 | Michael Carpio Alto | Nurse Practitioner | 2026 Eastlake Ave E, Seattle, WA 98102-3510 | 2015-10-13 |
1366845257 | Danial Khan | Nurse Practitioner | 1912 32nd Ave S, Seattle, WA 98144-4948 | 2014-10-06 |
1114267317 | Lorena Jaimes | Nurse Practitioner | 6515 5th Ave Ne Apt 103, Seattle, WA 98115-6451 | 2013-02-25 |
1669718425 | Martina Martin | Nurse Practitioner | 1560 N. 115th Street, Suite G16b, Seattle, WA 98133 | 2012-12-26 |
Find all providers in SEATTLE |
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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.