MR. JEFFREY PETER NELSON (NPI# 1588757843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588757843 |
| Entity Type | Individual |
| Full Name | MR. JEFFREY PETER NELSON |
| Credential | OTR/L |
| Practice Address |
Womack Army Medical Ctr Fort Bragg NC 28310-0001 |
| Mailing Address |
7120 Holmfield Rd Fayetteville NC 28306-2563 |
| Practice Telephone | 9109077383 |
| Enumeration Date | 2006-10-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171000000X | Military Health Care Provider | KY-R2037 | KY | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467786871 | Jeffrey Ryan Nelson | Chiropractor | 715 Mall Ring Cir Ste 205, Henderson, NV 89014-6667 | 2009-10-01 |
| 1942450564 | Jeffrey Starr Nelson | Internal Medicine | 7543 Baldwin Dam Rd, Folsom, CA 95630-1501 | 2008-09-19 |
| 1124149455 | Jeffrey Ray Nelson | Dentist | 1109 Highway 70 N, Kingston, OK 73439-8232 | 2007-04-03 |
| 1972682706 | Jeffrey Alan Nelson | Dentist | 3900 Joe Ramsey Blvd E # 7-a, Greenville, TX 75401-7727 | 2006-11-03 |
| 1306942255 | Jeffrey S Nelson | Physical Therapist | 3556 Pontiac Dr, Carlsbad, CA 92010-2131 | 2006-09-16 |
| 1326067943 | Jeffrey S Nelson | Counselor | 1738 S Tremont St, Oceanside, CA 92054-5309 | 2006-07-18 |
| 1972539971 | Jeffrey Loren Nelson | Psychiatry & Neurology | 105 Nw First St., Coupeville, WA 98239 | 2006-06-23 |
| 1225088024 | Jeffrey A Nelson | Technician/Technologist | 7322 Lake Worth Rd, Lake Worth, FL 33467-2529 | 2006-05-11 |
| 1609865724 | Jeffrey M Nelson | Specialist | 7416 N La Cholla Blvd, Tucson, AZ 85741-2306 | 2005-10-20 |
| 1295720936 | Jeffrey Donald Nelson | Family Medicine | 2222 Bancroft Ext, University Health Service- Clinical Services, Berkeley, CA 94720-4303 | 2005-09-19 |
| Street Address |
WOMACK ARMY MEDICAL CTR |
| City | FORT BRAGG |
| State | NC |
| Zip Code | 28310-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013912757 | Richard Phillip Kirschke | Nurse Anesthetist, Certified Registered | Womack Army Medical Ctr, Fort Bragg, NC 28310-5000 | 2005-06-18 |
| 1366813677 | Darrell Criswell Owens | Physician Assistant | Womack Army Medical Ctr, 2817 Reilly Rd, Fort Bragg, NC 28310-7301 | 2015-10-13 |
| 1275919193 | Jacqueline Reynolds | Nurse Anesthetist, Certified Registered | Womack Army Medical Ctr, Fort Bragg, NC 28310-0001 | 2015-08-03 |
| 1184009201 | Stephanie Martinson | Nurse Anesthetist, Certified Registered | Womack Army Medical Ctr, Department of Anesthesia, Fort Bragg, NC 28310-0001 | 2015-07-30 |
| 1821470451 | Steven Lee Warner | Student in an Organized Health Care Education/Training Program | Womack Army Medical Ctr, 2817 Reilly Road, Fort Bragg, NC 28310-0001 | 2015-06-19 |
| 1912310772 | Womack Army Medical Center | Military/U.S. Coast Guard Pharmacy | Womack Army Medical Ctr, Building 4-2817 Reilly Road, Fort Bragg, NC 28310-5000 | 2014-06-09 |
| 1982029229 | Travis Johnson | Physician Assistant | Womack Army Medical Ctr, Fort Bragg, NC 28310-7301 | 2014-02-24 |
| 1902230949 | Isaac R Thimmesch | Student in an Organized Health Care Education/Training Program | Womack Army Medical Ctr, 2817 Reilly Road, Fort Bragg, NC 28310-0001 | 2013-08-27 |
| 1306270293 | Robert Andrade | Physical Therapist | Womack Army Medical Ctr, 4-2817 Reilly St, Fort Bragg, NC 28310-0001 | 2013-08-27 |
| 1063766129 | Kimberly Nichole Stikeleather | Dietitian, Registered | Womack Army Medical Ctr, Building 4-2817 Reilly Road, Fort Bragg, NC 28310-0001 | 2012-10-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013550763 | Brent Francis Bachman | Physician Assistant | 2817 Reilly Street, Fort Bragg, NC 28310 | 2019-10-25 |
| 1417503459 | Cooper Pasque | Dentist | 1838 Normandy Dr., Fort Bragg, Apo, AA 28310 | 2019-08-15 |
| 1851959951 | Daniel Jordan Whitaker | Student in an Organized Health Care Education/Training Program | Womack Army Medical Center, 2817 Reilly Road, Mcxc-cod Credentials, Fort Bragg, NC 28310 | 2019-06-03 |
| 1679054217 | Christopher Cetnar | Dentist | Smokebomb Hill, Bldg 3718 Gruber Road, Fort Bragg, NC 28310 | 2018-08-22 |
| 1316427107 | Alexandrea Lee Clark | Dentist | Laflamme Dental Clinic, Bldg C6238 Ardennes Road, Fort Bragg, NC 28310 | 2018-08-21 |
| 1457843831 | Kevin Patrick Hudson | Student in an Organized Health Care Education/Training Program | 2817 Reilly Road Mxcx - Cod Credentials, Womack Army Medical Center, Fort Bragg, NC 28310 | 2018-06-01 |
| 1639691462 | Margaret S Greene | Dentist | Usa Dental Health Activity Fort Bragg, Wamc Box #151 2817 Rielly Rd, Fort Bragg, NC 28310 | 2017-07-13 |
| 1912432246 | Chezdan Baker | Student in an Organized Health Care Education/Training Program | Us Army Dental Health Activity Bldg-6837 Normandy Drive, Fort Bragg, NC 28310 | 2017-04-24 |
| 1215483094 | Shantryce Monique Boatwright Crump | Dental Hygienist | 2617 Rielly Road, Fort Bragg, NC 28310 | 2016-08-31 |
| 1629435714 | John Gagnier | Physician Assistant | Gruber Road, Building #c-1722, Fort Bragg, NC 28310 | 2016-01-21 |
| Find all providers in zip 28310 | ||||
| Taxonomy Code | 171000000X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |
| Notes: [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578058194 | Dwain Gavin Mccall | Military Health Care Provider | C1722 Tagaytay Drive, Fort Bragg, NC 28310-5318 | 2018-06-26 |
| 1720530355 | Robert Holly | Military Health Care Provider | 7606 Reilly Rd, Bldg 2, Fort Bragg, NC 28307 | 2016-10-31 |
| 1720602824 | James Harter | Military Health Care Provider | 2817 Reilly Rd, Fort Bragg, NC 28310-7301 | 2020-06-04 |
| 1669093233 | Nathan Jeffrey Palmer | Military Health Care Provider | 1722 Gruber Rd, Fort Bragg, NC 28310-7901 | 2020-05-05 |
| 1770118358 | John Commerford | Military Health Care Provider | 2817 Reilly St, Fort Bragg, NC 28310-7324 | 2020-03-04 |
| 1518590983 | James Ma | Military Health Care Provider | 2817 Reilly Road, Womack Army Medical Center, Fort Bragg, NC 28310 | 2020-02-13 |
| 1992261580 | Ahsan Salim Mir | Military Health Care Provider | 1722 Tagatay Dr, Fort Bragg, NC 28307 | 2019-02-19 |
| 1518440411 | Jacob Michael Alexander | Military Health Care Provider | 2817 Reilly St, Fort Bragg, NC 28310-7324 | 2018-09-07 |
| 1992288724 | Kabita Bista | Military Health Care Provider | Womack Army Medical Center, Fort Bragg, NC 28310-0001 | 2018-09-07 |
| 1053863803 | Karen Devane Jeffers | Military Health Care Provider | 2817 Reilly St, Womack Army Medical Center, Fort Bragg, NC 28310-7324 | 2016-10-27 |
| Find all providers in FORT BRAGG | ||||
| City | FORT BRAGG |
| Zip Code | 28310 |
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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.