DOUGLAS NELSON (NPI# 1750905881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750905881 |
| Entity Type | Individual |
| Full Name | DOUGLAS NELSON |
| Credential | LMT, BCTMB |
| Practice Address |
407 E Windsor Rd Champaign IL 61820-7722 |
| Practice Telephone | 2173511011 |
| Mailing Telephone | 2173511011 |
| Enumeration Date | 2020-06-04 |
| Last Update Date | 2020-06-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 227001826 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255348637 | Douglas Richard Nelson | Dentist | 3521 Commerce Ct, Appleton, WI 54911-8579 | 2006-08-01 |
| 1265475958 | Douglas P Nelson | Internal Medicine | 33 W Tamarisk St, Phoenix, AZ 85041-2422 | 2006-06-13 |
| 1003868787 | Douglas Dirk Nelson | Orthopaedic Surgery | 8735 S Merrion Ln, Hometown, IL 60456-1133 | 2006-05-17 |
| 1316913056 | Douglas Michael Nelson | Specialist/Technologist | 6200 140th St W, Apple Valley, MN 55124-3328 | 2006-02-23 |
| 1568442077 | Douglas Martin Nelson | Podiatrist | 1326 Peninsula Dr, Erie, PA 16505-4235 | 2006-01-19 |
| 1740261056 | Douglas L. Nelson | Chiropractor | 2721 Nall St, Port Neches, TX 77651-5203 | 2005-11-14 |
| 1689124216 | Douglas Alan Nelson | Counselor | 5808 Balcones Dr, Suite 101, Austin, TX 78731-4255 | 2016-10-06 |
| 1356626774 | Douglas Nelson | Pharmacist | 7851 Caton Farm Rd, Plainfield, IL 60586-1601 | 2011-10-17 |
| 1124333745 | Douglas James Nelson | Dentist | 11919 W. Sprague Ave, Airway Heights, WA 99001-1899 | 2010-08-09 |
| 1992942619 | Douglas Malcolm Nelson | Counselor | 45 Wadsworth Street, Hartford, CT 06106 | 2009-01-16 |
| Street Address |
407 E WINDSOR RD |
| City | CHAMPAIGN |
| State | IL |
| Zip Code | 61820-7722 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730788019 | Eric Beckley | Massage Therapist | 407 E Windsor Rd, Champaign, IL 61820-7722 | 2020-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982217345 | Costco Wholesale Corporation | Pharmacy | 2002 N. Neil St., Champaign, IL 61820 | 2020-08-26 |
| 1255963583 | Jamey Richard Bailey | Social Worker | 701 Devonshire Drive, Bldg C, Suite 206, C-6, Champaign, IL 61820 | 2020-02-05 |
| 1790247443 | Jason Abrams | Counselor | 201 W Springfield Ave., Suite 1002-1003, Champaign, IL 61820 | 2019-04-02 |
| 1184100273 | Janine Rafferty | Pharmacist | 2002 N Neil St, Champaign, IL 61820 | 2018-07-12 |
| 1417475070 | Brodbeck Counseling, PC | Community/Behavioral Health | 301 N. Neil Street Suite 323, Champaign, IL 61820 | 2017-09-05 |
| 1447773726 | Quanata M Pelmore | Nurse's Aide | 508 E. Vine St, Champaign, IL 61820 | 2017-07-19 |
| 1821518127 | Molly Mclay | Social Worker | 309 W Clark St., Champaign, IL 61820 | 2017-06-27 |
| 1396265849 | Lou Echols Chambers | Audiologist | 901 South Sixth Street, Chamapign, IL 61820 | 2017-06-26 |
| 1962874495 | Luciana Angelica Guardini | Social Worker | 100 North Chestnut Street, Suite 244, Champaign, IL 61820 | 2015-10-23 |
| 1538544465 | Cpo Services, Inc. | Prosthetic/Orthotic Supplier | 410 E University Ave Ste 105, Champaign, IL 61820 | 2015-07-21 |
| Find all providers in zip 61820 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316560758 | Jennifer Larkin Crozier | Massage Therapist | 44 E Main St Ste 102, Champaign, IL 61820-3649 | 2020-05-20 |
| 1124530282 | Susan Michele Ray | Massage Therapist | 2106 W Springfield Ave Ste E, Champaign, IL 61821-2979 | 2017-10-30 |
| 1841460599 | Andrea Kristen Munds | Massage Therapist | 306 S Rising Rd, Champaign, IL 61822 | 2008-03-10 |
| 1730788019 | Eric Beckley | Massage Therapist | 407 E Windsor Rd, Champaign, IL 61820-7722 | 2020-10-19 |
| 1902424955 | Ashley Gaytan | Massage Therapist | 2906 Crossing Ct, Champaign, IL 61822-6163 | 2020-07-07 |
| 1124437694 | Daniel Noice | Massage Therapist | 2906 Crossing Ct, Champaign, IL 61822-6163 | 2014-08-08 |
| 1093020059 | Michelle Annette Morneau | Massage Therapist | 209 W University Ave, Champaign, IL 61820-3966 | 2010-08-15 |
| 1730365859 | Jessica Marie Bushman | Massage Therapist | 206 N Randolph St, Suite 426, Champaign, IL 61820-3949 | 2008-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124627872 | Patricia Pollard | Massage Therapist | 4437 N Lowell Ave Apt 2, Chicago, IL 60630-4103 | 2020-10-23 |
| 1497354104 | Lola Sanders | Massage Therapist | 844 Wilshire Dr, Belleville, IL 62223-2623 | 2020-10-22 |
| 1003415001 | Amanda L Klimczak | Massage Therapist | 1231 Ridgeland Ave, Berwyn, IL 60402-1142 | 2020-10-21 |
| 1093314148 | Jody Lee Hazel | Massage Therapist | 1750 E Colborn Camp Ln, Noble, IL 62868-2348 | 2020-10-20 |
| 1194323352 | Vanina Barnett | Massage Therapist | 112 Sussex Cir, Schaumburg, IL 60193-1835 | 2020-10-10 |
| 1063029676 | Natasha White | Massage Therapist | 8235 S Kingston Ave, Chicago, IL 60617-1909 | 2020-09-28 |
| 1407463029 | Danielle Wright | Massage Therapist | 132 S Water St Ste 430, Decatur, IL 62523-2305 | 2020-09-28 |
| 1316554272 | Paula Marie Zaloga-nowak | Massage Therapist | 4942 N Melvina Ave, Chicago, IL 60630-2908 | 2020-09-24 |
| 1780291872 | Jennifer Marshall | Massage Therapist | 6920 W 110th St, Worth, IL 60482-1425 | 2020-09-23 |
| 1326654690 | Helene Decourchelle | Massage Therapist | 3524 N Marshfield Ave Ph, Chicago, IL 60657-1248 | 2020-09-21 |
| 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.