DR. KRISTA NICOLE NELSON (NPI# 1831324342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831324342 |
| Entity Type | Individual |
| Full Name | DR. KRISTA NICOLE NELSON |
| Credential | D.P.M. |
| Practice Address |
235 S Main St Ste B Edwardsville IL 62025 |
| Mailing Address |
5139 Mattis Rd Ste 102 Saint Louis MO 63128-2250 |
| Practice Telephone | 6183079015 |
| Practice Fax Number | 6183079017 |
| Mailing Telephone | 3149091920 |
| Mailing Fax Number | 3149091980 |
| Enumeration Date | 2009-05-28 |
| Last Update Date | 2019-04-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
2012023303 | MO | Podiatric Medicine & Surgery Service Providers |
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
016005540 | IL | Podiatric Medicine & Surgery Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 235 S Main St Ste B, Edwardsville, IL 620251921 | 6183079015 | 6183079017 |
| 3505 College Ave Ste B, Alton, IL 620025065 | 6184629695 | 6184629651 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083235881 | Krista Renee Nelson | Social Worker | 6207 Ne Broadway, Portland, OR 97213-4713 | 2020-05-03 |
| 1942841481 | Krista Leigh Nelson | Psychologist | 210 E 64th St Fl 4, New York, NY 10065-7471 | 2019-10-07 |
| 1992283915 | Krista Nelson | Behavior Technician | 27720 Jefferson Ave, Temecula, CA 92590-2610 | 2018-08-01 |
| 1528571486 | Krista Nelson | Counselor | 626 Bernard Ave, Knoxville, TN 37921-6253 | 2017-11-14 |
| 1750748000 | Krista Sue Nelson | Registered Nurse | 216 W Division St, Clarinda, IA 51632-2509 | 2016-01-18 |
| 1528441243 | Krista Wert Nelson | Physician Assistant | 1350 Hickory St, Melbourne, FL 32901-3224 | 2015-06-30 |
| 1245552538 | Krista Marie Nelson | Pharmacist | 598 Columbia Tpke, East Greenbush, NY 12061-1622 | 2010-02-27 |
| 1275753477 | Krista Leigh Nelson | Counselor | 1308 W 5th St, Crossett, AR 71635 | 2007-04-27 |
| 1760579734 | Krista Marie Nelson | Social Worker | 348 Prior Ave N, 206, Saint Paul, MN 55104-5187 | 2006-10-09 |
| Street Address |
235 S MAIN ST STE B |
| City | EDWARDSVILLE |
| State | IL |
| Zip Code | 62025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619519535 | Anderson Surgery Center LLC | Clinic/Center | 3403 Anderson Healthcare Drive, Edwardsville, IL 62025 | 2019-10-11 |
| 1194376640 | Katharine Mcginnis D.m.d. P.C. | Dentist | 235 A. South Main St, Edwardsville, IL 62025 | 2019-09-26 |
| 1568925014 | Southern Illinois Pediatric Dentistry of Edwardsville | Dentist | 1419 Lewis Road, Suite 2, Edwardsville, IL 62025 | 2019-04-11 |
| 1902277031 | Amy Lynn Britt | Nurse Practitioner | 1188 South State Route 157, Edwardsville, IL 62025 | 2015-10-15 |
| 1730563230 | Jenna Dallman | Chiropractor | 3 Sunset Hills Professional Center, Suite 2, Edwardsville, IL 62025 | 2015-07-14 |
| 1861745218 | Srimannarayana Marella | Family Medicine | 6616 Center Grove Rd., Edwardsville, IL 62025 | 2012-10-23 |
| 1669722872 | Ican Clinic LLC | Chiropractor | 441 S State Route 157 Ste 2, Edwardsville, IL 62025 | 2012-09-14 |
| 1922371673 | Teresa Marie Garbett | Pharmacist | 2 Sunset Hills Executive Park Dr., Addiction Treatment Strategies, Edwardsville, IL 62025 | 2012-02-10 |
| 1447415757 | Harvey H Breckner D.m.d.,m.s | Exclusive Provider Organization | 600 Country Club View Suite 4, Edwardsville, IL 62025 | 2008-07-25 |
| 1629240569 | Meridian View Family Dental | Dentist | 2133 South Illinois Route 157, Edwardsville, IL 62025 | 2008-04-01 |
| Find all providers in zip 62025 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730505272 | N.e.p.a Foot & Ankle Specialists P.C. | Podiatrist | 33 Gateway Shopping Ctr, Edwardsville, PA 18704-4424 | 2014-03-07 |
| 1730480914 | Shelly A Levulis | Podiatrist | 33 Gateway Shopping Ctr, Edwardsville, PA 18704-4424 | 2010-11-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154930485 | Mid America Foot & Ankle Specialist Illinois LLC | Podiatrist | 2003 Montgomery Rd Ste 108109, Aurora, IL 60504-9078 | 2020-07-22 |
| 1265040026 | Northern Illinois Foot & Ankle Specialists, Ltd | Podiatrist | 4121 Fairview Ave Ste 102, Downers Grove, IL 60515-2266 | 2020-07-17 |
| 1316563612 | Jacob Tilsley | Podiatrist | 610 S Maple Ave Ste 2250, Oak Park, IL 60304-1093 | 2020-06-22 |
| 1033738547 | C James Anderson Dpm LLC | Podiatrist | 1000 Eleven S Ste 3a, Columbia, IL 62236-1077 | 2020-04-14 |
| 1386263895 | C James Anderson Dpm LLC | Podiatrist | 717 Insight Ave Ste 100, O Fallon, IL 62269-2193 | 2020-04-14 |
| 1821631367 | Dr Christine Heck PC | Podiatrist | 111 N Wabash Ave Ste 1914, Chicago, IL 60602-2968 | 2019-10-28 |
| 1013562578 | Bishoy Atef Botros | Podiatrist | 820 S Damen Ave Fl 7, Chicago, IL 60612-3728 | 2019-08-01 |
| 1538623947 | Steven B Overpeck Dpm PC | Podiatrist | 25520 S Pheasant Ln Unit K, Channahon, IL 60410-8808 | 2019-01-30 |
| 1366916355 | Center for Foot and Ankle Surgery Ltd | Podiatrist | 654 W Veterans Pkwy Ste D, Yorkville, IL 60560-2510 | 2019-01-14 |
| 1497224950 | Northern Illinois Foot & Ankle Specialists, Ltd | Podiatrist | 1288 S Us Highway 12, Fox Lake, IL 60020-1950 | 2018-11-14 |
| Find all providers with the same taxonomy | ||||
| City | EDWARDSVILLE |
| Zip Code | 62025 |
Please comment or provide details below to improve the information on DR. KRISTA NICOLE 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.