MRS. CONNIE MICHELLE NELSON (NPI# 1679560304) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679560304 |
| Entity Type | Individual |
| Full Name | MRS. CONNIE MICHELLE NELSON |
| Credential | RN |
| Practice Address |
1115 B St Plummer ID 83851 |
| Mailing Address |
170 Larch Rd St Maries ID 83861-7150 |
| Practice Telephone | 2086861931 |
| Practice Fax Number | 2086861035 |
| Mailing Telephone | 2082452116 |
| Enumeration Date | 2005-09-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP2201X |
Registered Nurse Specialization: Ambulatory Care |
N25223 | ID | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629061221 | Connie Lee Nelson | Counselor | 2210 S Brown Place, Sioux Falls, SD 57105 | 2005-08-30 |
| 1740829845 | Connie Rachelle Nelson | Registered Nurse | 8101 O St Ste 300, Lincoln, NE 68510-2647 | 2020-01-06 |
| 1740557701 | Connie M Nelson | Pharmacist | 1717 Milton Ave, Janesville, WI 53545-0884 | 2011-11-18 |
| 1427261080 | Connie Alvin Nelson | Physical Therapist | 2101 Greentree Rd, Suite A116, Pittsburgh, PA 15220-1400 | 2007-05-08 |
| 1144359621 | Connie G Nelson | Social Worker | 620 Gallatin Pike S, Madison, TN 37115-4013 | 2007-03-02 |
| 1619043999 | Connie L Nelson | Counselor | 2611 12th St S, Wisconsin Rapids, WI 54494 | 2006-11-28 |
| 1134205131 | Connie Nelson | Occupational Therapist | 800 West Maple Street, Medical Lake, WA 99022-0800 | 2006-10-31 |
| 1427131770 | Connie Nelson | Social Worker | 222 N Kalamazoo Mall Ste 100, Kalamazoo, MI 49007 | 2006-10-23 |
| Street Address |
1115 B ST |
| City | PLUMMER |
| State | ID |
| Zip Code | 83851 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144216276 | Ginger Caroline Carpenter | Registered Nurse | 1115 B St, Plummer, ID 83851-0388 | 2005-09-23 |
| 1629262134 | Chanda Mae Heer | Registered Nurse | 1115 B St, Plummer, ID 83851 | 2007-08-29 |
| 1447231303 | Cathleen L Laplante | Dental Hygienist | 1115 B St, Plummer, ID 83851-0388 | 2005-11-08 |
| 1881675742 | Sharilyn J Kidder | Registered Nurse | 1115 B St, Plummer, ID 83851 | 2005-11-08 |
| 1770564635 | Connie Gene Miller | Counselor | 1115 B St, Plummer, ID 83851 | 2005-11-08 |
| 1760471783 | David M Holecek | Dentist | 1115 B St, Plummer, ID 83851-0388 | 2005-10-21 |
| 1932198223 | Maggie A Olson | Technician, Pathology | 1115 B St, Plummer, ID 83857-0388 | 2005-10-19 |
| 1821087115 | George S Robinson | Spec/Tech, Pathology | 1115 B St, Plummer, ID 83851 | 2005-10-19 |
| 1700874567 | Evie L Gardipe | Dental Assistant | 1115 B St, Plummer, ID 83851-0388 | 2005-10-06 |
| 1255328829 | Janet L Miller | Nurse's Aide | 1115 B St, Plummer, ID 83851 | 2005-09-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326575325 | Terrin Loe | Dental Hygienist | 358-786 Long Road, Plummer, ID 83851 | 2017-05-22 |
| 1639542830 | Selene Bonnell-hall | Physical Therapy Assistant | 1100 A Street, Plummer, ID 83851 | 2015-11-10 |
| 1609245059 | Caley Jordan | Pharmacist | 427 N 12 St, Plummer, ID 83851 | 2015-09-16 |
| 1861741282 | Plummer Gateway Fire Protection | Ambulance | 609 Poleyard Rd, Plummer, ID 83851 | 2012-08-30 |
| 1497040349 | Jason Ford Chapman | General Practice | 427 N. 12th St., Plummer, ID 83851 | 2011-06-17 |
| 1861797060 | Tiffany Marie Korrer | Physical Therapy Assistant | 1100 A. Street, Plummer, ID 83851 | 2011-01-19 |
| 1710290234 | Brian Meyer | Optometrist | 427 Nth 12th St, Plummer, ID 83851 | 2010-07-26 |
| 1386884369 | James Smith | Clinical Medical Laboratory | 1115 E. St, Plummer, ID 83851 | 2009-03-03 |
| 1134378169 | Robert Samuel Davis | Physician Assistant | 427 N 12th St., Plummer, ID 83851 | 2008-09-15 |
| 1013192210 | Nikole J Mills | Nurse Practitioner | 427 N. 12th Street, Plummer, ID 83851 | 2008-01-07 |
| Find all providers in zip 83851 | ||||
| Taxonomy Code | 163WP2201X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Ambulatory Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629262134 | Chanda Mae Heer | Registered Nurse | 1115 B St, Plummer, ID 83851 | 2007-08-29 |
| 1528058427 | Darcy Ann Humphrey | Registered Nurse | 1115 B Street, Plummer, ID 83851 | 2005-10-24 |
| 1417947318 | Susan Mary Bates | Registered Nurse | 1115 B Street, Plummer, ID 83851 | 2005-10-24 |
| 1023004827 | Ada M Denny | Registered Nurse | 1115 B St, Benewah Medical Center, Plummer, ID 83851 | 2005-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487253670 | Morgan Wussow | Registered Nurse | 500 W Fort St, Boise, ID 83702-4501 | 2020-10-20 |
| 1386258291 | Vanessa Potoski | Registered Nurse | 500 W Fort St, Boise, ID 83702-4501 | 2020-09-08 |
| 1548871759 | Katherine K Andersen | Registered Nurse | 500 W Fort St, Boise, ID 83702-4501 | 2020-08-11 |
| 1730798539 | Betty Lynne Foote | Registered Nurse | 500 W Fort St, Boise, ID 83702-4501 | 2020-07-28 |
| 1942827191 | Charity Elizabeth Clausen | Registered Nurse | 500 W Fort St, Boise, ID 83702-4501 | 2020-07-02 |
| 1427675867 | Michelle Casper | Registered Nurse | 500 W Fort St, Boise, ID 83702-4501 | 2020-07-01 |
| 1386268332 | Amy Blackledge | Registered Nurse | 3250 W Cherry Ln, Meridian, ID 83642-1120 | 2020-06-05 |
| 1194251827 | Glenda Young | Registered Nurse | 500 W Fort St, Boise, ID 83702-4501 | 2017-05-01 |
| 1831442482 | Ashley L Ballensky | Registered Nurse | 717 Mission Road, Fort Hall, ID 83203-0717 | 2012-10-19 |
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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.