MR. KEVIN GREGRORY NELSON (NPI# 1316023385) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316023385 |
| Entity Type | Individual |
| Full Name | MR. KEVIN GREGRORY NELSON |
| Credential | FNP |
| Practice Address |
500 Old River Rd Suite # 104 Bakersfield CA 93311-9504 |
| Mailing Address |
500 Old River Rd Suite #104 Bakersfield CA 93311-9504 |
| Practice Telephone | 6616176750 |
| Practice Fax Number | 6616176760 |
| Mailing Telephone | 6616176750 |
| Mailing Fax Number | 6616176888 |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2012-08-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
NPF8183 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DEA | MN1631325 | 01 |
| CA | PHYSICIAN ASST LIC. # | PA13727 | 01 |
| CA | RN LIC# | RN336575 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780191775 | Kevin David Nelson | Pharmacist | 111 Redtail Ct Apt 308, Mankato, MN 56001 | 2017-12-29 |
| 1316379894 | Kevin R Nelson | Pharmacist | 55 Pine Lake Ave, La Porte, IN 46350-3027 | 2013-08-06 |
| 1154552958 | Kevin William Nelson | Occupational Therapist | 98 Forest Ave, West Caldwell, NJ 07006-7968 | 2009-07-29 |
| 1669601886 | Kevin Ted Nelson | Dentist | 5952 Blackstone Way Ste 100, Nine Mile Falls, WA 99026-4900 | 2009-07-09 |
| 1699978932 | Kevin Mann Nelson | Dentist | 350 W Woodrow Wilson Ave Ste 310, Jackson, MS 39213-7690 | 2007-06-06 |
| 1699824045 | Kevin Reed Nelson | Optometrist | 228 Bellows Avenue, Frankfort, MI 49635-2158 | 2007-01-08 |
| 1396810123 | Kevin T. Nelson | Dentist | 1116 W Loucks Ave, Peoria, IL 61604-2677 | 2006-11-20 |
| 1356440283 | Kevin Richard Nelson | Chiropractor | 309 N Labree, Thief River Falls, MN 56701-1912 | 2006-09-21 |
| 1316976814 | Kevin F Nelson | Physician Assistant | 3237 Voyager Dr, Green Bay, WI 54311-8349 | 2006-06-30 |
| 1700857653 | Kevin D Nelson | Chiropractor | 9075 Forsstrom Dr, Lonetree, CO 80124-6737 | 2006-01-30 |
| Street Address |
500 OLD RIVER RD SUITE # 104 |
| City | BAKERSFIELD |
| State | CA |
| Zip Code | 93311-9504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740286392 | Kamen Ivanov Nedeltchev | Dentist | 500 Old River Rd, Ste 225, Bakersfield, CA 93311-9508 | 2005-06-27 |
| 1003362435 | Jeffrey Elms | Orthotist | 500 Old River Rd, Suite 100, Bakersfield, CA 93311-9504 | 2016-08-26 |
| 1962838540 | Pamela Jean Whiteley | Physician Assistant | 500 Old River Rd, Suite 145, Bakersfield, CA 93311-9504 | 2013-09-16 |
| 1891061511 | Melanie Ann Scarbrough | Nurse Practitioner | 500 Old River Rd, Suite 260, Bakersfield, CA 93311-9504 | 2012-03-27 |
| 1518259480 | Lincy A Maliyekkal | Nurse Practitioner | 500 Old River Rd, Suite 155, Bakersfield, CA 93311-9504 | 2011-05-10 |
| 1598906521 | Pediatric Heart Center, Inc. | Pediatrics | 500 Old River Rd, Suite 105, Bakersfield, CA 93311-9504 | 2009-03-22 |
| 1801040894 | Marvin J. Derrick, M.d. Inc. | Surgery | 500 Old River Rd, Suite 250, Bakersfield, CA 93311-9504 | 2008-11-04 |
| 1396996435 | Nedeltchev Dental Corporation | Clinic/Center | 500 Old River Rd, #225, Bakersfield, CA 93311 | 2008-10-07 |
| 1972665222 | Alan Afshin Esla | Dentist | 500 Old River Rd, Suite# 275, Bakersfield, CA 93311-9504 | 2006-12-14 |
| 1063523942 | Alicja Ogorkiewicz | Anesthesiology | 500 Old River Rd, Suite 170, Bakersfield, CA 93311-9504 | 2006-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104469030 | Bk New Age. Inc. | Internal Medicine | 11703 Privet Pl, Bakersfield, CA 93311 | 2019-10-23 |
| 1245713197 | Brandon Mccullough | Dentist | 11120 Stockdale Hwy, #103, Bakersfield, CA 93311 | 2018-09-06 |
| 1871001602 | Centric Health | Internal Medicine | 4531 Buena Vista Rd, Bakersfield, CA 93311 | 2018-01-15 |
| 1518484971 | Alexandria Noelle Wilson | Specialist/Technologist | 9800 Green Oak Pl, Bakersfield, CA 93311 | 2017-08-26 |
| 1477093169 | Vishnu Patel | Pharmacist | 11500 Wakehurst Ct, Bakersfield, CA 93311 | 2017-03-01 |
| 1487102364 | Christina Lewis | Nurse Practitioner | 9900 Stockdale Hwy Ste 203, Bakersfield, CA 93311 | 2016-09-20 |
| 1629424866 | New Horizon Surgical Center, LLC | Clinic/Center | 4500 Trade Center Drive, Bakersfield, CA 93311 | 2016-05-06 |
| 1316300767 | Ellen Mccrary | Optometrist | 9000 Ming Ave Ste L1-b, Bakersfield, CA 93311 | 2016-04-02 |
| 1083076764 | Pratik Patel | Dentist | 8701 Camino Media Ste A, Bakersfield, CA 93311 | 2016-03-22 |
| 1194196832 | Providence Medical Group | General Acute Care Hospital | 1806 Wadsworth Avenue, Bakersfield, CA 93311 | 2015-10-07 |
| Find all providers in zip 93311 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306456835 | Erin Marie Eddy | Nurse Practitioner | 10104 Glenn St, Bakersfield, CA 93312-2763 | 2020-08-10 |
| 1306454640 | Amandeep Dhillon | Nurse Practitioner | 14909 Brockbank Ave, Bakersfield, CA 93314-4307 | 2020-07-22 |
| 1962022160 | Laura Ellen Levingston | Nurse Practitioner | 2108 Dean Ave, Bakersfield, CA 93312-2728 | 2020-04-17 |
| 1386278927 | Durish Ann Adan Dorotheo | Nurse Practitioner | 8307 Brimhall Rd Ste 1702, Bakersfield, CA 93312-4343 | 2020-02-22 |
| 1336772615 | April Elizabeth Cooper | Nurse Practitioner | 1500 Haggin Oaks Blvd Ste 100, Bakersfield, CA 93311-1333 | 2020-02-14 |
| 1831739226 | Christine Crisostomo | Nurse Practitioner | 500 Windsor Park Dr, Bakersfield, CA 93311-3586 | 2020-01-14 |
| 1215586870 | Marissa Perez Hernandez | Nurse Practitioner | 4000 Physicians Blvd Ste 211, Bakersfield, CA 93301-1284 | 2019-09-06 |
| 1053969212 | Oliver Ranin | Nurse Practitioner | 9709 Swansboro Way, Bakersfield, CA 93314-8081 | 2019-08-30 |
| 1871155481 | Kathlene Mateo Hilario | Nurse Practitioner | 5055 California Ave Ste 340, Bakersfield, CA 93309-1993 | 2019-07-03 |
| 1538729074 | Dipali Desai | Nurse Practitioner | 11719 Christmas Rose Dr, Bakersfield, CA 93311-2187 | 2019-06-17 |
| Find all providers in BAKERSFIELD | ||||
| City | BAKERSFIELD |
| Zip Code | 93311 |
Please comment or provide details below to improve the information on MR. KEVIN GREGRORY NELSON.
| 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.