CARRIE JO NELSON (NPI# 1578505434) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578505434 |
| Entity Type | Individual |
| Full Name | CARRIE JO NELSON |
| Credential | M.D. |
| Practice Address |
2321 Stout Rd Menomonie WI 54751-7003 |
| Mailing Address |
Po Box 1510 Eau Claire WI 54702-1510 |
| Practice Telephone | 7152355531 |
| Practice Fax Number | 7152337645 |
| Mailing Telephone | 7158385222 |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2019-10-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 24008-020 | WI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225682057 | Carrie Nelson | Registered Nurse | 387 N K St, Tulare, CA 93274-4007 | 2019-07-30 |
| 1881076636 | Carrie Sarah Nelson | Mechanotherapist | 19207 60th Ave W, #1, Lynnwood, WA 98036-5111 | 2015-06-28 |
| 1932256328 | Carrie Juanita Nelson | Social Worker | 4252 Carmichael Rd Ste 107-108, Montgomery, AL 36106-2804 | 2007-01-05 |
| 1437643533 | Carrie Nelson | Nurse Practitioner | 1707 Centennial Blvd, Fargo, ND 58102 | 2018-06-21 |
| 1346755535 | Carrie Nelson | Psychologist | 445 W Berry Ave, Littleton, CO 80120-1601 | 2017-12-10 |
| 1962878710 | Carrie E Nelson | Occupational Therapist | 50 E North St, Buffalo, NY 14203-1002 | 2015-08-17 |
| 1669896999 | Carrie Nelson | Counselor | 405 Main St, Danbury, CT 06810-4710 | 2014-02-06 |
| 1659706349 | Carrie Nelson | Pharmacist | 760 N Van Dyke Rd, Bad Axe, MI 48413-9012 | 2013-09-12 |
| 1871727263 | Carrie Ann Nelson | Registered Nurse | 728 Garfield Ave, Duluth, MN 55802-2634 | 2009-05-13 |
| 1558357939 | Carrie Nelson | Family Medicine | 327 Gundersen Dr, Suite C, Carol Stream, IL 60188-2402 | 2005-09-21 |
| Street Address |
2321 STOUT RD |
| City | MENOMONIE |
| State | WI |
| Zip Code | 54751-7003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669477592 | Jeremy S Forster | Pediatrics | 2321 Stout Rd, Menomonie, WI 54751-7003 | 2005-06-16 |
| 1144853169 | Alicia Lorraine Stearns | Physician Assistant | 2321 Stout Rd, Menomonie, WI 54751-7003 | 2020-02-18 |
| 1528604089 | Jessica Rae Alstead | Physician Assistant | 2321 Stout Rd, Menomonie, WI 54751-7003 | 2019-11-20 |
| 1912558651 | Chiara Teresa Kristina Coll Andahazy | Physician Assistant | 2321 Stout Rd, Menomonie, WI 54751-7003 | 2019-09-24 |
| 1306492707 | Mayo Foundation for Medical Education & Research | Durable Medical Equipment & Medical Supplies | 2321 Stout Rd, Menomonie, WI 54751-7003 | 2019-08-13 |
| 1164913406 | Julie Locke | Nurse Practitioner | 2321 Stout Rd, Menomonie, WI 54751-7003 | 2018-05-22 |
| 1962910737 | Tara Marie Bridgeman | Pharmacist | 2321 Stout Rd, Menomonie, WI 54751 | 2018-01-16 |
| 1124535455 | Rachael Lynn Nellessen | Pharmacist | 2321 Stout Rd, Menomonie, WI 54751-7003 | 2018-01-09 |
| 1881106953 | Briana Kenyon | Speech-Language Pathologist | 2321 Stout Rd, Menomonie, WI 54751-7003 | 2017-10-30 |
| 1518478205 | Jenna Ann Frieburg | Occupational Therapist | 2321 Stout Rd, Menomonie, WI 54751 | 2017-10-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154840569 | Ashley Friedenfels | Physical Medicine & Rehabilitation | E4486 290th Avenue, Menomonie, WI 54751 | 2017-09-18 |
| 1215307814 | David Calvin Reimann | Hearing Instrument Specialist | E4584 483rd Avenue, Menomonie, WI 54751 | 2015-09-25 |
| 1790128627 | County of Dunn | Skilled Nursing Facility | 651 Howison Circle, Menominie, WI 54751 | 2013-04-10 |
| 1043653983 | County of Dunn | Skilled Nursing Facility | 658 Howison Circle, Menomonie, WI 54751 | 2013-04-10 |
| 1447519236 | Gentle Dental Care LLC | Dentist | 1813 Wilson St., Menomonie, WI 54751 | 2012-05-14 |
| 1386960193 | Kilimanjaro LLC | Non-emergency Medical Transport (VAN) | 1222 14th Ave E, Menomonie, WI 54751 | 2010-04-19 |
| 1275709180 | Dianne Marie Bennett | Counselor | 1916 2nd St W, Menomonie, WI 54751 | 2008-05-01 |
| 1417136201 | David Gary Hackbarth | Chiropractor | 3120 Schneider Ave E, Suite #5, Menomonie, WI 54751 | 2007-10-29 |
| 1306057336 | Tonia D. Behling | Dental Hygienist | 3375 Kothlow Ave., Suite 40, Menomonie, WI 54751 | 2007-05-24 |
| 1295956282 | Danny Roger Wood | Dentist | 1603 Stout Rd, Menomonie, WI 54751 | 2007-05-01 |
| Find all providers in zip 54751 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104080548 | Lorene L Vedder | Internal Medicine | 515 21st St N, Menomonie, WI 54751-2233 | 2008-07-15 |
| 1285014803 | Bharat Meenavalli | Internal Medicine | 2321 Stout Rd, Menomonie, WI 54751 | 2015-06-09 |
| 1679861165 | Jendra Andrew Gosai | Internal Medicine | 2321 Stout Rd, Menomonie, WI 54751-7003 | 2011-07-18 |
| 1861672040 | County of Dunn | Internal Medicine | 3001 Us Highway 12 E, Menomonie, WI 54751-5569 | 2007-11-06 |
| 1376765057 | Sridhar Thirumalai | Internal Medicine | 2321 Stout Rd, Menomonie, WI 54751-7003 | 2007-05-03 |
| 1740211473 | Jacqueline S. D'souza | Internal Medicine | 2321 Stout Rd, Menomonie, WI 54751-7003 | 2006-07-05 |
| 1174565261 | Daniel Leroy Johnson | Internal Medicine | 2321 Stout Rd, Menomonie, WI 54751-7003 | 2006-06-12 |
| 1174571053 | Steven G. Brown | Internal Medicine | 2321 Stout Rd, Menomonie, WI 54751-7003 | 2006-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295350973 | Nelson Nwumeh | Internal Medicine | 8338 Gridley Ave, Wauwatosa, WI 53213-3042 | 2020-06-09 |
| 1730718560 | Kevin Mcdonald | Internal Medicine | Uw Hospitals and Clinic 600 Highland Ave, Madison, WI 53792-0001 | 2020-04-03 |
| 1487216560 | Somto Tagbo Nwaedozie | Internal Medicine | 1000 N Oak Ave # 1000, Marshfield, WI 54449-5703 | 2019-06-28 |
| 1851816862 | Cubic Life Integrative Care S.c. | Internal Medicine | 325 Forest Grove Dr Ste 200, Pewaukee, WI 53072-3894 | 2017-08-10 |
| 1407387673 | Navkiran Kaur Dhillon | Internal Medicine | 830 E Deer Ridge Pass, Oak Creek, WI 53154-3300 | 2017-03-21 |
| 1639617665 | Edward Min Chi | Internal Medicine | 2320 N Lake Dr Ste 3603, Milwaukee, WI 53211-4507 | 2017-02-09 |
| 1821542739 | Mark Ridder | Internal Medicine | M120 Highway 97, Marshfield, WI 54449 | 2016-08-09 |
| 1093166266 | Alexa Mary Clare Gavaga | Internal Medicine | 835 S Main St Ste 1, Oconto Falls, WI 54154-1282 | 2016-06-28 |
| 1437513173 | Jonathan Shaffer | Internal Medicine | 4600 N Cramer St, Whitefish Bay, WI 53211-1203 | 2016-04-08 |
| 1750743159 | Andrew Charles Rose | Internal Medicine | 999 N 92nd St Ste 730, Milwaukee, WI 53226-4875 | 2016-03-24 |
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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.