CRYSTAL NELSON (NPI# 1366766107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366766107 |
Entity Type | Individual |
Full Name | CRYSTAL NELSON |
Credential | MS, OTR/L |
Practice Address |
345 11th St W West Fargo ND 58078-1400 |
Practice Telephone | 7015322222 |
Practice Fax Number | 7015527211 |
Mailing Telephone | 7015322222 |
Mailing Fax Number | 7015527211 |
Enumeration Date | 2010-03-23 |
Last Update Date | 2020-06-10 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2083X0100X |
Preventive Medicine Specialization: Occupational Medicine |
1082 | ND | Allopathic & Osteopathic Physicians |
Y | 225XE1200X |
Occupational Therapist Specialization: Ergonomics |
1082 | ND | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
N | 225XP0019X |
Occupational Therapist Specialization: Physical Rehabilitation |
1082 | ND | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801348487 | Crystal Nelson | Behavioral Analyst | 4359 Kukui Grove St Ste 102, Lihue, HI 96766-2008 | 2016-10-28 |
1861899791 | Crystal D Nelson | Licensed Practical Nurse | 9224 S Las Lomitas St, Phoenix, AZ 85042-7718 | 2014-11-20 |
1437409901 | Crystal A Nelson | Physician Assistant | 9350 E 35th St N, Ste 101, Wichita, KS 67226 | 2012-09-12 |
1154899045 | Crystal Nelson | Occupational Therapist | 1930 E 12th St, Casper, WY 82601-4075 | 2018-11-08 |
1144648460 | Crystal Renee Nelson | Specialist/Technologist | 1140 College Dr, Box 563, Pineville, LA 71359-1000 | 2014-04-03 |
1932497344 | Crystal Nelson | Marriage & Family Therapist | 7300 147th St W, Suite 204, Apple Valley, MN 55124-7541 | 2011-07-19 |
1437356870 | Crystal Lewis Nelson | Psychiatry & Neurology | 1841 Clifton Rd Ne, Atlanta, GA 30329-4021 | 2007-06-29 |
Street Address |
345 11TH ST W |
City | WEST FARGO |
State | ND |
Zip Code | 58078-1400 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043628845 | Horizon Therapy, Inc. | Occupational Therapist | 345 11th St W, West Fargo, ND 58078-1400 | 2014-07-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982205068 | Ashley Kasson Therapy | Counselor | 3220 4th St E, West Fargo, ND 58078 | 2020-11-04 |
1427658624 | Deedee (dorin) Ngwe | Technician | 3240 9th S West Apt. 204, West Fargo, ND 58078 | 2020-10-27 |
1053879734 | Mpnd,inc | Pharmacy | 2050 Sheyenne Street, West Fargo, ND 58078 | 2019-03-12 |
1396239216 | Luke Gable | Behavior Technician | 647 13th Avenue South, West Fargo, ND 58078 | 2018-06-15 |
1629597919 | Cody Freng | Specialist/Technologist | 3276 9th St W Apt C, West Fargo, ND 58078 | 2017-09-18 |
1831613942 | Lauren Phyllis Loe | Physical Therapist | 1401 13th Avenue East, Essentia Health West Fargo Clinic, West Fargo, ND 58078 | 2017-07-31 |
1851746226 | Jodi Kilen | Occupational Therapy Assistant | 631 4th Ave East, West Fargo, ND 58078 | 2016-05-04 |
1922490101 | Betty Ann Helmer | Social Worker | 2355 Meadow Ridge Parkway, West Fargo, ND 58078 | 2015-02-25 |
1477972784 | Tessa Nicole Larson | Occupational Therapist | 3139 Bluestem Dr Ste 108, West Fargo, ND 58078 | 2014-04-15 |
1023432010 | Kaylyn Kortes | Licensed Practical Nurse | 1302 Sheyenne St, West Fargo, ND 58078 | 2014-02-11 |
Find all providers in zip 58078 |
Taxonomy Code | 225XE1200X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Occupational Therapist |
Specialization | Ergonomics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417907866 | Heather Dibra | Occupational Therapist | 1715 S Broadway, Minot, ND 58701-6304 | 2006-05-10 |
1811049950 | Kimberly Ann Stewart | Occupational Therapist | 1833 E Bismarck Expressway, Bismarck, ND 58504 | 2007-01-17 |
City | WEST FARGO |
Zip Code | 58078 |
Please comment or provide details below to improve the information on CRYSTAL 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.