DR. CAROLYN D NELSON (NPI# 1164464301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164464301 |
| Entity Type | Individual |
| Full Name | DR. CAROLYN D NELSON |
| Credential | DO |
| Practice Address |
32756 Grand River Ave Farmington MI 48336-3133 |
| Practice Telephone | 2484763280 |
| Practice Fax Number | 2484763286 |
| Mailing Telephone | 2484763280 |
| Mailing Fax Number | 2484763286 |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 5101008650 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | AETNA | 4033266 | 01 |
| MI | MCARE | B0411 | 01 |
| MI | CARE CHOICES | 139928 | 01 |
| MI | BLUE CROSS | OH26459 | 01 |
| MI | 3323613 | 05 | |
| MI | FV4454280 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871981902 | Carolyn Rose Nelson | Licensed Practical Nurse | 536 Wright St Ne, Grand Rapids, MI 49505-3358 | 2014-12-23 |
| 1194131631 | Carolyn Nelson | Home Health Aide | 1803 S Green St, Longview, TX 75602-3311 | 2014-07-04 |
| 1720223050 | Carolyn M Nelson | Psychiatry & Neurology | 585 North Barry Ave, Mamaroneck, NY 10543 | 2008-12-16 |
| 1750570776 | Carolyn Nelson | Marriage & Family Therapist | 509 Emerywood Dr, Raleigh, NC 27615-1528 | 2007-10-16 |
| 1770570574 | Carolyn Lantzy Nelson | Counselor | 222 Timber Trl Apt D, Bel Air, MD 21014-3147 | 2005-10-05 |
| 1972082105 | Carolyn Marie Nelson | Marriage & Family Therapist | 8775 Sierra College Blvd Ste 200, Roseville, CA 95661-5985 | 2018-08-08 |
| 1962864942 | Carolyn Nelson | Student in an Organized Health Care Education/Training Program | 2500 N State St, Department of Anesthesiology S-108, Jackson, MS 39216-4500 | 2016-03-28 |
| 1780054361 | Carolyn H Nelson | Dietitian, Registered | 3675 Southwestern Blvd, Orchard Park, NY 14127-1732 | 2015-09-25 |
| 1285021626 | Carolyn Nelson | Internal Medicine | 4849 Paulsen Street, Suite 105, Savannah, GA 31405 | 2015-04-23 |
| 1407199086 | Carolyn Ann Nelson | Nurse Practitioner | 408 Bethel Rd, Somers Point, NJ 08244-2172 | 2013-04-01 |
| Street Address |
32756 GRAND RIVER AVE |
| City | FARMINGTON |
| State | MI |
| Zip Code | 48336-3133 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225065063 | Peter R Schoeps | Family Medicine | 32756 Grand River Ave, Farmington, MI 48336-3133 | 2006-06-27 |
| 1689618449 | Ron Christopher Kuzdak | Family Medicine | 32756 Grand River Ave, Farmington, MI 48336-3133 | 2006-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932733375 | Compassionate Attendant Care Inc | Home Health | 21100 Osmus Street, Suite E, Farmington Hills, MI 48336 | 2020-02-25 |
| 1578123790 | Jon Boynton | Audiologist-Hearing Aid Fitter | 25882 Orchard Lake Rd, Suite 103, Farmington Hills, MI 48336 | 2019-06-19 |
| 1083270078 | Bethesda Home Health LLC | Home Health | 34445 Northwestern Hwy, Farmington Hills, MI 48336 | 2019-05-15 |
| 1174005227 | Cisseri Health Care | Home Health | 28931 W 11 Mile Rd, Farmington Hills, MI 48336 | 2018-09-05 |
| 1326531294 | April A Jackson | Psychologist | 24211 Farmington Road, Farmington Hills, MI 48336 | 2018-06-14 |
| 1083136642 | Nicole Renee Cannonier | Social Worker | 25311 Lynford, Farmington Hills, MI 48336 | 2017-07-14 |
| 1174052021 | Sharon Suzanne King | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 21600 Tulane, Farmington Hills, MI 48336 | 2017-06-05 |
| 1639578909 | Alyssa Kaitlyn Brecht | Rehabilitation Counselor | 23062 Middlebelt Rd, Apt 103, Farmington Hills, MI 48336 | 2014-08-22 |
| 1184038341 | Therapeutic Advantage LLC | Occupational Therapist | 30903 W 10 Mile Rd Ste B, Farmington Hills, MI 48336 | 2014-06-16 |
| 1952727257 | Takara Orum | Social Worker | 21399 Tulane Ave, Apt. 301, Farmington Hills, MI 48336 | 2014-03-11 |
| Find all providers in zip 48336 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649757915 | Tuta Sano Pllc | Family Medicine | 57 W Grove Creek Cir, Farmington, UT 84025-4732 | 2018-07-19 |
| 1063891570 | Jantzen T Slater | Family Medicine | 199 E. Main St., Farmington, AR 72730-3077 | 2015-05-29 |
| 1255759262 | Arthur Wiser | Family Medicine | 101 New Meadow Run Dr Dept Of, Farmington, PA 15437-1391 | 2014-04-07 |
| 1427304203 | Joseph Samuel Emond Jr. | Family Medicine | 19730 Meadowlark Way, Farmington, MN 55024 | 2012-07-30 |
| 1457643835 | Saira Rani | Family Medicine | 406 Farmington Ave Ste 1, Farmington, CT 06032-1964 | 2011-05-04 |
| 1023310158 | Carson Wright | Family Medicine | 16 Munson Rd University of Connecticut, Correctional Managed Health Care, Farmington, CT 06030-5386 | 2010-11-22 |
| 1538471313 | Brett Blaser | Family Medicine | 140 N Union Ave, Ste F-300, Farmington, UT 84025-2953 | 2010-07-08 |
| 1427376300 | Sharon R. Wipf | Family Medicine | 103 New Meadow Run Drive, Farmington, PA 15437 | 2010-05-17 |
| 1609005693 | Vikas Vinodray Bhimani | Family Medicine | 23133 Orchard Lake Rd Ste 102, Farmington, MI 48336-3278 | 2009-07-10 |
| 1699901231 | Daniel Wilford Broadbent | Family Medicine | 991 Shepard Ln, Ste 200, Farmington, UT 84025-2972 | 2009-06-10 |
| Find all providers in FARMINGTON | ||||
| City | FARMINGTON |
| Zip Code | 48336 |
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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.