ELDA NELSON (NPI# 1609235837) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609235837 |
| Entity Type | Individual |
| Full Name | ELDA NELSON |
| Practice Address |
42 N Saint Joseph Ave Niles MI 49120-2203 |
| Mailing Address |
3891 E Shawnee Rd Berrien Springs MI 49103-9765 |
| Practice Telephone | 2696846696 |
| Mailing Telephone | 2696358742 |
| Enumeration Date | 2016-02-16 |
| Last Update Date | 2016-03-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
4704214056 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
42 N SAINT JOSEPH AVE |
| City | NILES |
| State | MI |
| Zip Code | 49120-2203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780675140 | Jennifer Lynn Zizzo | Nurse Practitioner | 42 N Saint Joseph Ave, Suite 201, Niles, MI 49120-2203 | 2005-11-03 |
| 1578979415 | Lakeland Medical Practices | Internal Medicine | 42 N Saint Joseph Ave, Suite 302, Niles, MI 49120-2203 | 2014-07-10 |
| 1184988040 | Van's Medical Equipment of Lakeland, LLC | Durable Medical Equipment & Medical Supplies | 42 N Saint Joseph Ave, Suite 102, Niles, MI 49120-2208 | 2012-06-26 |
| 1932493863 | Lakeland Medical Practices | Urology | 42 N Saint Joseph Ave, Suite 200, Niles, MI 49120-2208 | 2011-06-08 |
| 1083925119 | Kenneth Walter Kaufmann II | Obstetrics & Gynecology | 42 N Saint Joseph Ave, Suite 201, Niles, MI 49120-2203 | 2010-06-23 |
| 1376863407 | Lakeland Medical Practices | Clinic/Center | 42 N Saint Joseph Ave, Suite 101, Niles, MI 49120-2208 | 2010-06-11 |
| 1104145002 | Lakeland Medical Practices | Clinic/Center | 42 N Saint Joseph Ave, Suite 100, Niles, MI 49120-2208 | 2010-05-18 |
| 1033438932 | Lakeland Medical Practices | Clinic/Center | 42 N Saint Joseph Ave, Suite 300, Niles, MI 49120-2203 | 2010-05-18 |
| 1033442421 | Laurie Ann Gee | Nurse Practitioner | 42 N Saint Joseph Ave, Suite 201, Niles, MI 49120-2203 | 2009-09-16 |
| 1851523377 | Jill L Gorsuch | Surgery | 42 N Saint Joseph Ave, Suite 100, Niles, MI 49120-2203 | 2009-08-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093285652 | The Caerus Group LLC | Clinic/Center | 732 S. 11th St #197, Niles, MI 49120 | 2018-11-27 |
| 1306316971 | Vicki L Yarbro | Physical Therapist | 6 Longmeadow Village Dr. Suite 3, Niles, MI 49120 | 2018-11-27 |
| 1063831469 | Aaron Joseph Lanning | Nurse Practitioner | 42 N Saint Joseph Ave Ste 300, Niles, MI 49120 | 2014-04-14 |
| 1740601186 | Terrianne Klaeren | Occupational Therapist | 1009 Almaugus Drive, Niles, MI 49120 | 2014-01-03 |
| 1124469366 | All Needs Senior Services, Inc. | Home Health | 1723 Pucker Street Dr, Suite A, Niles, MI 49120 | 2013-07-16 |
| 1902105034 | Nile Family Pharmacy LLC | Pharmacy | 70 E. State St., Niles, MI 49120 | 2011-03-15 |
| 1629240734 | Karen L Palmer | Counselor | 115 S St Joseph Ave, Niles, MI 49120 | 2008-03-28 |
| 1124218391 | Melissa A Longley | Social Worker | 333 N. Second Street, Suite 303, Niles, MI 49120 | 2007-07-25 |
| 1841410727 | Periza Zaninovic | Dentist | 123 Marmont Street, Niles, MI 49120 | 2007-04-26 |
| 1477629087 | Stephen Williams Tankersley | Dentist | 226 S Lincoln Ave, Niles, MI 49120 | 2006-11-27 |
| Find all providers in zip 49120 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225681455 | Jinu Joss | Nurse Practitioner | 9939 N Warren Oval, Niles, IL 60714-1044 | 2019-07-17 |
| 1861864175 | Catherine Majcher | Nurse Practitioner | 8915 W Golf Rd, Niles, IL 60714-5905 | 2015-10-26 |
| 1669808465 | Sarah Yoon | Nurse Practitioner | 6631 N Milwaukee Ave, Niles, IL 60714-4416 | 2013-09-25 |
| 1255562674 | Rnp Services LLC | Nurse Practitioner | 6631 N Milwaukee Ave, Niles, IL 60714-4416 | 2009-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275130619 | Mohammad Afzal Khan | Nurse Practitioner | 29147 Appleblossom Ln, Farmington Hills, MI 48331-2420 | 2020-10-08 |
| 1528679305 | Eriko Apriliando | Nurse Practitioner | 15300 Silver Pkwy Apt 208, Fenton, MI 48430-3479 | 2020-08-13 |
| 1245858307 | Katherine Perko Hollander | Nurse Practitioner | 2274 Earlmont Rd, Berkley, MI 48072-1877 | 2020-07-06 |
| 1437782067 | Jamie Lynn Kosalsky | Nurse Practitioner | 1385 Cadmus Dr, Troy, MI 48085-1218 | 2020-02-21 |
| 1326698309 | Maria Christina Mekas | Nurse Practitioner | 423 Tamarack Dr, Saline, MI 48176-9573 | 2019-09-12 |
| 1669021358 | Cheryl Fowler | Nurse Practitioner | 523 Fontenelle St Se, Grand Rapids, MI 49548-7316 | 2019-09-05 |
| 1205482387 | Sarah E Born | Nurse Practitioner | 517 Erie Street, Three Rivers, MI 49093-2029 | 2019-08-14 |
| 1023660321 | Cheri Van Wyngarden | Nurse Practitioner | 6250 Jupiter Ave Ne, Belmont, MI 49306-8711 | 2019-07-16 |
| 1194385500 | Adesuwa Iyoha | Nurse Practitioner | 30509 Halecreek St, Romulus, MI 48174-3224 | 2019-06-18 |
| 1740740190 | John Kenneth Dekock | Nurse Practitioner | 5327 48th Ave, Hudsonville, MI 49426-9412 | 2019-03-21 |
| Find all providers with the same taxonomy | ||||
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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.