PHYLLIS NELSON (NPI# 1770033599) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770033599 |
| Entity Type | Individual |
| Full Name | PHYLLIS NELSON |
| Credential | CNP |
| Practice Address |
7690 Discovery Dr West Chester OH 45069-6542 |
| Mailing Address |
Po Box 636256 Central Credentialing Cincinnati OH 45263-6256 |
| Practice Telephone | 5134757630 |
| Practice Fax Number | 5134757636 |
| Mailing Telephone | 5135855505 |
| Mailing Fax Number | 5135855511 |
| Enumeration Date | 2016-10-05 |
| Last Update Date | 2017-06-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
020005 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710528138 | Phyllis Nelson | Social Worker | 23057 W Andrew Ave, Channahon, IL 60410-3033 | 2019-10-07 |
| 1679114805 | Phyllis Adolphus Nelson | Family Medicine | 362 E Troy St Uppr, Ferndale, MI 48220-2851 | 2019-09-29 |
| 1659491207 | Phyllis Ann Nelson | Dietitian, Registered | 108 Denver Trail, Harris Methodist Northwest Hospital, Azle, TX 76020 | 2007-03-29 |
| 1316376429 | Phyllis Nelson | Dental Hygienist | 1202 Martin Luther King Jr Way, Tacoma, WA 98405-3926 | 2013-11-08 |
| 1366514572 | Phyllis B Nelson | Social Worker | 4005 Spicewood Springs Rd, A200, Austin, TX 78759-8673 | 2006-11-14 |
| Street Address |
7690 DISCOVERY DR |
| City | WEST CHESTER |
| State | OH |
| Zip Code | 45069-6542 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093714750 | Charles R Hattemer | Internal Medicine | 7690 Discovery Dr, West Chester, OH 45069-6542 | 2005-07-15 |
| 1548886484 | Makayla Black | Specialist/Technologist | 7690 Discovery Dr, West Chester, OH 45069-6542 | 2020-06-16 |
| 1568097533 | Jennifer Jue | Physician Assistant | 7690 Discovery Dr, West Chester, OH 45069-6542 | 2020-03-10 |
| 1023543030 | Kristen Elizabeth Tenney | Colon & Rectal Surgery | 7690 Discovery Dr, West Chester, OH 45069-6542 | 2017-04-27 |
| 1427581115 | Jennifer Henderson | Nurse Practitioner | 7690 Discovery Dr, West Chester, OH 45069-6542 | 2017-04-10 |
| 1316311772 | Emily Mason Shah | Nurse Practitioner | 7690 Discovery Dr, West Chester, OH 45069-6542 | 2015-11-23 |
| 1801278916 | Viet Huu Le | Psychiatry & Neurology | 7690 Discovery Dr, West Chester, OH 45069-6542 | 2015-06-25 |
| 1285026476 | Kelly Thueneman | Nurse Practitioner | 7690 Discovery Dr, West Chester, OH 45069-6542 | 2015-02-24 |
| 1093128258 | Heidi Joy Phero | Speech-Language Pathologist | 7690 Discovery Dr, Suite 3900, West Chester, OH 45069-6542 | 2014-06-05 |
| 1124438239 | Jason Ernst | Physician Assistant | 7690 Discovery Dr, West Chester, OH 45069-6542 | 2014-04-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841891900 | Ami Hardik Parikh | Pharmacist | 8288 Cincinnati Dayton Road, West Chester, OH 45069 | 2020-11-05 |
| 1083215172 | Ashley Dozier | Pharmacist | 8288 Cincinnati-dayton Road, West Chester, OH 45069 | 2020-11-04 |
| 1891393575 | Georgia Leeanne Mako | Nurse Practitioner | Minute Clinic #2342, 7217 Cincinnati Dayton Rd, West Chester, OH 45069 | 2020-10-14 |
| 1407310832 | Holly N Retherford | Behavior Technician | 5900 West Chester Rd, Suite C, West Chester, OH 45069 | 2019-01-30 |
| 1669966933 | Caring Hearts Home Care, LLC. | Home Health | 8603 Cincinnati Columbus Rd., Ste. J, West Chester, OH 45069 | 2018-06-19 |
| 1538684972 | Elizabeth Stasser | Counselor | 5900 West Chester Road Suite C, West Chester, OH 45069 | 2017-08-07 |
| 1942720388 | All Caring Hospice Cincinnati Dayton, LLC | Hospice Care, Community Based | 8857 Cincinnati-dayton Road, Suite 101, West Chester, OH 45069 | 2017-06-27 |
| 1568991982 | Cassandra Jade Biltz | Speech-Language Pathologist | 8123 Mill Creek Cr, West Chester, OH 45069 | 2017-06-08 |
| 1316476732 | Christina Louise Kappen | Social Worker | 8904 Brookside Ave, West Chester, OH 45069 | 2017-06-08 |
| 1033644240 | Claire Stall | Pharmacist | 7675 Wellness Way Ste 100, West Chester, OH 45069 | 2017-04-25 |
| Find all providers in zip 45069 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356810097 | Kathleen Marie Boyle | Nurse Practitioner | 1606 Eldridge Dr, West Chester, PA 19380-6458 | 2018-11-23 |
| 1447512033 | Mary Catherine Wollman | Nurse Practitioner | 121 Lydia Ln, West Chester, PA 19382-8482 | 2012-06-11 |
| 1114156148 | Benchmark Health Services LLC | Nurse Practitioner | 9810 Windisch Rd, West Chester, OH 45069-3806 | 2009-07-13 |
| 1285191858 | Nicole Ann Brice | Nurse Practitioner | 701 E Marshall St, West Chester, PA 19380-4412 | 2019-03-01 |
| 1205388626 | Genevieve L Dugan | Nurse Practitioner | 7675 Wellness Way, West Chester, OH 45069-2509 | 2016-11-02 |
| 1467581132 | Ran Zhou | Nurse Practitioner | 9050 Centre Pointe Dr, Suite 400, West Chester, OH 45069-4874 | 2007-03-05 |
| 1588700207 | Rosemarie Macinnis | Nurse Practitioner | 9050 Centre Pointe Dr Ste 400, West Chester, OH 45069-4875 | 2007-01-29 |
| 1093780967 | Theresa Menavich Hoffman | Nurse Practitioner | 700 N Franklin St, West Chester, PA 19380-2334 | 2006-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760083174 | Sophia Denise Moncrieffe-jordan | Nurse Practitioner | 23511 Chargin Blvd, Apt. E312, Beachwood, OH 44122 | 2020-11-03 |
| 1649879032 | Danielle Wines | Nurse Practitioner | 5933 Sarah Lake Dr, Sylvania, OH 43560-9201 | 2020-10-19 |
| 1881292902 | Karen Cooper | Nurse Practitioner | 730 A Kittle Road, Wheelersburg, OH 45694 | 2020-10-12 |
| 1659983252 | Michael A. Adams | Nurse Practitioner | 3837 Washington Blvd, University Heights, OH 44118-3158 | 2020-08-17 |
| 1912516709 | Susan Marie Hessey | Nurse Practitioner | 4502 Satinwood Dr, Toledo, OH 43623-3350 | 2020-07-28 |
| 1518585728 | Diane Louise Lamb | Nurse Practitioner | 3163 Hook Waltz Rd E, Elida, OH 45807-9555 | 2020-07-14 |
| 1215553052 | Jennifer Cordray | Nurse Practitioner | 5452 Grace Dr, Mentor, OH 44060-1500 | 2020-06-17 |
| 1053943134 | Chunyan Mcelroy | Nurse Practitioner | 101 Meadowlands Dr Apt D8, Chardon, OH 44024-9379 | 2020-02-06 |
| 1790324432 | Ashley Nicole Neely | Nurse Practitioner | 890 Oakwood Dr, Alliance, OH 44601-5435 | 2019-12-28 |
| 1710530357 | Christine Marie Hoover | Nurse Practitioner | 65 Community Rd Ste C, Tallmadge, OH 44278-2358 | 2019-07-23 |
| Find all providers with the same taxonomy | ||||
| City | WEST CHESTER |
| Zip Code | 45069 |
Please comment or provide details below to improve the information on PHYLLIS 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.