SHAWN KEITH NELSON (NPI# 1346233020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346233020 |
| Entity Type | Individual |
| Full Name | SHAWN KEITH NELSON |
| Credential | MD |
| Practice Address |
3183 W State St Suite 1201 Bristol TN 37620-1712 |
| Practice Telephone | 4237640987 |
| Practice Fax Number | 4236522512 |
| Mailing Telephone | 4237640987 |
| Mailing Fax Number | 4236522512 |
| Enumeration Date | 2005-08-26 |
| Last Update Date | 2012-07-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
34012 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 007101147 | 05 | |
| TN | 3152685 | 05 | |
| TN | 3854328 | 05 | |
| VA | 010365040 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497037782 | Shawn Patrick Nelson | Pharmacist | 12387 Yellow Bluff Dr, Jacksonville, FL 32226-2025 | 2011-09-13 |
| 1700854312 | Shawn Peter Nelson | Chiropractor | 27200 Harper Ave Ste B, Saint Clair Shores, MI 48081-1909 | 2006-03-09 |
| 1891848149 | Shawn P Nelson | Optometrist | 2815 16th St Sw, Minot, ND 58701-6914 | 2007-01-19 |
| 1497768261 | Shawn D Nelson | Nurse Anesthetist, Certified Registered | 400 N Holtzclaw Ave, Chattanooga, TN 37404-1916 | 2006-08-14 |
| Street Address |
3183 W STATE ST SUITE 1201 |
| City | BRISTOL |
| State | TN |
| Zip Code | 37620-1712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528051208 | Douglas Paul Williams | Psychiatry & Neurology | 3183 W State St, Suite 1201, Bristol, TN 37620-1712 | 2005-08-26 |
| 1538428230 | Michelle L Painter | Nurse Practitioner | 3183 W State St, Suite 1101, Bristol, TN 37620-1712 | 2012-05-15 |
| 1184889115 | Brenda K Friend | Nurse Practitioner | 3183 W State St, Suite 1101, Bristol, TN 37620-1712 | 2008-07-18 |
| 1063623692 | Claudia F Corradino | Nurse Practitioner | 3183 W State St, Suite 1201, Bristol, TN 37620-1712 | 2007-05-25 |
| 1114042629 | Mountain Empire Neurological Associates PC | Specialist | 3183 W State St, Suite 1201, Bristol, TN 37620-1712 | 2007-03-21 |
| 1730205089 | Teresa Ann Martin | Nurse Practitioner | 3183 W State St, Suite 1201, Bristol, TN 37620-1712 | 2007-03-21 |
| 1962533661 | William J. Schermer Pllc | Dermatology | 3183 W State St, Suite 1102, Bristol, TN 37620-1712 | 2007-03-07 |
| 1922158500 | Cory V Trickett | Dermatology | 3183 W State St, Bristol, TN 37620-1712 | 2007-01-12 |
| 1326053760 | Southeastern Pain Management Center, Pllc | Anesthesiology | 3183 W State St, Suite 1101, Bristol, TN 37620-1712 | 2006-07-31 |
| 1376588996 | Dennis M Aguirre | Pain Medicine | 3183 W State St, Suite1101, Bristol, TN 37620-1712 | 2006-06-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376180216 | Firstep, LLC | Psychiatry & Neurology | 3183 W. State St., Suite 1201, Bristol, TN 37620 | 2019-12-10 |
| 1578047726 | Amanda Harville Mcgrady | Psychologist | 105 Walnut Circle, Bristol, TN 37620 | 2018-09-23 |
| 1467932533 | Teresa Mooney | Nurse Practitioner | 324 Leslie Ct, Bristol, TN 37620 | 2018-08-17 |
| 1992285308 | Jeremy Aurbrey Blanzy | Nurse Practitioner | 1 Medical Park Boulevard, Suite 400e, Bristol, TN 37620 | 2018-08-15 |
| 1255841805 | Amanda L Pillion | Audiologist | 225 Midway Medical Park, Bristol, VA 37620 | 2017-10-10 |
| 1841717717 | Joel Blevins | Driver | 301 Webb Ct, Bristol, TN 37620 | 2017-08-23 |
| 1831579796 | Dr. Marie Crawford, Ph.d., Pllc | Psychologist | 739 Bluff City Highway, Suite 5, Bristol, TN 37620 | 2015-06-05 |
| 1508297169 | Cassandra Marie Conry | Chiropractor | 800 Hill St., Bristol, TN 37620 | 2013-12-09 |
| 1780025874 | Laura Leann Lawson-renfro | Nurse Practitioner | 260 Midway St, Bristol, TN 37620 | 2013-07-17 |
| 1760822365 | Ricky Bhimani | Internal Medicine | 208 Medical Park Boulevard, Bristol, TN 37620 | 2013-06-27 |
| Find all providers in zip 37620 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982745923 | Southern New England Neurology,llc | Psychiatry & Neurology | 814 Metacom Ave, Bristol, RI 02809-5160 | 2007-02-11 |
| 1356308027 | Bristol Neurology, Inc | Psychiatry & Neurology | 448 Hope St, Bristol, RI 02809-1806 | 2006-04-27 |
| 1528051208 | Douglas Paul Williams | Psychiatry & Neurology | 3183 W State St, Suite 1201, Bristol, TN 37620-1712 | 2005-08-26 |
| 1962835538 | Kateryna Kurako | Psychiatry & Neurology | 61 Bradley St, Bristol, CT 06010 | 2013-08-18 |
| 1821387721 | Alana S. Cozier | Psychiatry & Neurology | 1 Medical Park Blvd, Bristol, TN 37620-7430 | 2011-03-31 |
| 1548493273 | Cara Pittari | Psychiatry & Neurology | 25 Newell Rd Ste D21, Bristol, CT 06010-5128 | 2009-08-28 |
| 1164678108 | Kathleen Mcconnell | Psychiatry & Neurology | 1 Medical Park Blvd, Bristol, TN 37620-7430 | 2008-08-11 |
| 1689682239 | Rajani J. Patel Md LLC | Psychiatry & Neurology | 501 Bath Rd, Suite 201, Bristol, PA 19007-3101 | 2006-08-03 |
| 1245260157 | Alexander Komm | Psychiatry & Neurology | 975 Farmington Ave, Bristol, CT 06010-3929 | 2006-07-04 |
| 1003809781 | Steven Wesley Morgan | Psychiatry & Neurology | 3183 W State St, Suite 1201, Bristol, TN 37620-1712 | 2005-08-26 |
| Find all providers in BRISTOL | ||||
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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.