MR. WILLIAM AAGE NELSON (NPI# 1699933085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699933085 |
| Entity Type | Individual |
| Full Name | MR. WILLIAM AAGE NELSON |
| Practice Address |
714 Jackson St N St Petersburg FL 33705-1337 |
| Practice Telephone | 7278954663 |
| Mailing Telephone | 7278954663 |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2008-06-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | 65 | FL | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 141550600 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558720599 | William Nelson | Adult Companion | 439 Congaree Rd., Ste. #8, Greenville, SC 29607 | 2016-02-18 |
| 1013288323 | William Lowell Nelson Jr. | Anesthesiology | 13439 Calle Colina, Poway, CA 92064-1608 | 2012-01-18 |
| 1063789881 | William David Nelson Sr. | Dentist | 7575 Fredle Dr, Suite 101, Concord Twp, OH 44077-9413 | 2011-11-22 |
| 1497933154 | William D. Nelson | General Practice | 7320 E Deer Valley Rd Ste 100, Scottsdale, AZ 85255-7453 | 2008-02-05 |
| 1912123407 | William V. Nelson | Dentist | 12828 Augusta Ave, Omaha, NE 68144-3733 | 2007-04-17 |
| 1366581621 | William L Nelson | Chiropractor | 516 N Diamond Bar Blvd, Suite A, Diamond Bar, CA 91765-1056 | 2007-02-05 |
| 1659427698 | William Newman Nelson Jr. | Dentist | 332 E Jefferson St, Yazoo City, MS 39194 | 2007-01-25 |
| 1427122167 | William A Nelson | Pharmacist | 973 W Essex Pl, Arlington Heights, IL 60004-2317 | 2006-11-17 |
| 1760599260 | William Paul Nelson | Psychologist | 420 Brookside Ave, Redlands, CA 92373-4610 | 2006-08-23 |
| 1326051640 | William Lawrence Nelson | Internal Medicine | 87 North Airlite, Suite 150, Elgin, IL 60123 | 2006-08-15 |
| Street Address |
714 JACKSON ST N |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33705-1337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154935781 | Caressa Alice Slocum | Psychologist | 840 Dr M.l.k. Jr St N, St. Petersburg, FL 33705 | 2020-09-01 |
| 1386133015 | Angela Ann Little | Social Worker | 920 Country Club Way S, St Petersburg, FL 33705 | 2018-05-08 |
| 1497279483 | Infinity Health Consultants, LLC. | In Home Supportive Care | 1001 27th Avenue South, St. Petersburg, FL 33705 | 2017-08-01 |
| 1801320528 | Dedicated Senior Medical Center St. Petersburg, LLC. | Non-Pharmacy Dispensing Site | 901 22nd Avenue South, Dedicated Senior Medical Center St. Petersburg, LLC., St. Petersburg, FL 33705 | 2017-04-19 |
| 1790135762 | Robin Dong | Emergency Medicine | 1095 5th Ave N, St. Petersburg, FL 33705 | 2016-06-20 |
| 1437550084 | Community Health Center of Pinellas Inc | Clinic/Center | 612 Dr Martin L King St N, St Petersburg, FL 33705 | 2014-09-12 |
| 1164851754 | Jennifer Carey | Counselor | 11 Mlk Jr St South, St. Petersburg, FL 33705 | 2013-11-05 |
| 1750623997 | Dannaly Reyes Baerga | Physical Medicine & Rehabilitation | 1201 5th Ave N Ste 202, St Petersburg, FL 33705 | 2013-03-26 |
| 1518209055 | Nii Sai Torto | Emergency Medicine | 500 Doctor. M.l.k, Jr. Street North, Ste 303, Saint Petersburg, FL 33705 | 2013-03-22 |
| 1790034635 | Melissa White Kidwell | Physical Therapist | 500 Mlking Street N, Ste 100, St. Petersburg, FL 33705 | 2012-09-06 |
| Find all providers in zip 33705 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851626337 | Active Care Group Home | Community Based Residential Treatment Facility, Mental Illness | 3935 43rd Ave N, St Petersburg, FL 33714-3620 | 2009-10-16 |
| 1760486427 | Brookwood Florida - Central, Inc | Community Based Residential Treatment Facility, Mental Illness | 901 7th Ave S, St Petersburg, FL 33705-1901 | 2005-06-10 |
| 1518341924 | Brookwood Florida, Inc | Community Based Residential Treatment Facility, Mental Illness | 901 7th Ave S, St Petersburg, FL 33705-1901 | 2015-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427688852 | Tropical Gardens LLC | Community Based Residential Treatment Facility, Mental Illness | 150 Ne 212th St, Miami Gardens, FL 33179-1017 | 2020-01-24 |
| 1417505850 | Herve Franck | Community Based Residential Treatment Facility, Mental Illness | 13901 Folkestone Cir, Wellington, FL 33414-7825 | 2019-08-28 |
| 1568014868 | Hestia House of Florida, Inc. | Community Based Residential Treatment Facility, Mental Illness | 816 N Grandview Ave # 2, Daytona Beach, FL 32118-3721 | 2019-07-16 |
| 1336628155 | Lavoryia Timmons | Community Based Residential Treatment Facility, Mental Illness | 24940 Hyde Park Blvd, Land O Lakes, FL 34639-6306 | 2018-08-13 |
| 1003324534 | Donyell Jones | Community Based Residential Treatment Facility, Mental Illness | 6239 Edgewater Dr Ste V2, Orlando, FL 32810-4764 | 2018-01-18 |
| 1437672748 | Reasons for Change, LLC | Community Based Residential Treatment Facility, Mental Illness | 143 Silver Beach Road, Lake Park, FL 33403 | 2017-07-18 |
| 1316477029 | Cerrato Associates Incorporation | Community Based Residential Treatment Facility, Mental Illness | 755 Shady Oaks Dr Apt 310, Palm Coast, FL 32164-2578 | 2017-06-14 |
| 1356877047 | Samaritan Counseling Center | Community Based Residential Treatment Facility, Mental Illness | 101 Se 3rd Avenue, Fort Lauderdale, FL 33301 | 2017-05-02 |
| 1780119917 | Open Arm Housing and Care | Community Based Residential Treatment Facility, Mental Illness | 4031 Nw 91st Ters, Sunrise, FL 33351 | 2017-04-25 |
| 1124476064 | Parent Support, LLC | Community Based Residential Treatment Facility, Mental Illness | 146 Sunset View Dr., Davenport, FL 33896 | 2016-06-01 |
| Find all providers with the same taxonomy | ||||
| City | ST PETERSBURG |
| Zip Code | 33705 |
Please comment or provide details below to improve the information on MR. WILLIAM AAGE 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.