MS. KRISTINA J NELSON (NPI# 1902913940) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902913940 |
| Entity Type | Individual |
| Full Name | MS. KRISTINA J NELSON |
| Other Name | KRISTINA J VOLLMER |
| Credential | LPC |
| Practice Address |
1020 N 12th St Milwaukee WI 53233 |
| Mailing Address |
1020 N 12th St Milwaukee WI 53233-1308 |
| Practice Telephone | 4142193110 |
| Practice Fax Number | 4142195422 |
| Mailing Telephone | 4147734312 |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2019-10-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 2655-057 | WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 40975100 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306213053 | Kristina L Nelson | Specialist/Technologist | 1943 Jackson Ave, Bismarck, ND 58501-2371 | 2015-08-28 |
| 1386995595 | Kristina M Nelson | Nurse Practitioner | 5225 Mid America Plz, Saint Louis, MO 63129-0002 | 2012-09-27 |
| 1528669116 | Kristina Riley Nelson | Pharmacist | 1325 Spring St, Greenwood, SC 29646-3860 | 2020-11-02 |
| 1659647618 | Kristina Nelson | Case Manager/Care Coordinator | 158 E Sunset Dr, Suite E, Medford, OK 73759-2401 | 2012-03-23 |
| 1679600191 | Kristina Marie Nelson | Speech-Language Pathologist | 505 S Main St, Suite 249, Las Cruces, NM 88001-1206 | 2007-02-28 |
| Street Address |
1020 N 12TH ST |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53233 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003882994 | Soryal A Soryal | Internal Medicine | 1020 N 12th St, 3rd Floor, Milwaukee, WI 53233-1308 | 2006-02-28 |
| 1114533478 | Rebecca Ann Biskup | Massage Therapist | 1020 N 12th St, Milwaukee, WI 53233-1308 | 2020-09-21 |
| 1215547369 | Kimberly Dee Chobanian Balash | Advanced Practice Midwife | 1020 N 12th St, Milwaukee, WI 53233-1308 | 2020-08-04 |
| 1073132387 | Marybeth M Hordyk | Social Worker | 1020 N 12th St, Milwaukee, WI 53233-1308 | 2020-04-16 |
| 1336774132 | Kari L Jensen | Social Worker | 1020 N 12th St, Milwaukee, WI 53233-1308 | 2020-03-12 |
| 1881232270 | Pamela Newbury-scheife | Nurse Practitioner | 1020 N 12th St, Milwaukee, WI 53233-1308 | 2019-12-16 |
| 1093360380 | Keith C Rindahl | Nurse Practitioner | 1020 N 12th St, Milwaukee, WI 53233-1308 | 2019-08-05 |
| 1780153387 | Ashanti Dean | Advanced Practice Midwife | 1020 N 12th St, Milwaukee, WI 53233-1308 | 2018-11-13 |
| 1295229037 | Emilie I Franchow | Psychologist | 1020 N 12th St, Milwaukee, WI 53233-1308 | 2018-06-15 |
| 1447757596 | Traci J Hempler | Counselor | 1020 N 12th St, Milwaukee, WI 53233-1308 | 2018-04-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104454750 | Henok Desta Hardilo | Student in an Organized Health Care Education/Training Program | Aurora Sinai Medical Center 945 N 12th Street, Milwaukee, WI 53233 | 2020-03-30 |
| 1821633314 | Ann E Millard | Occupational Therapist | 560 N. 16th Street, Room 214a, Milwaukee, WI 53233 | 2019-11-08 |
| 1306480918 | Teng Kai Ong | Dentist | 1801 West Wisconsin Ave., Milwaukee, WI 53233 | 2019-11-06 |
| 1356800478 | Nebiyu Abera Tilahun | Student in an Organized Health Care Education/Training Program | Aurora Sinai Medical Center, 945 N. 12th Street, Milwaukee, WI 53233 | 2019-03-18 |
| 1548748387 | Emily Claire Goetz | Physical Therapist | 945 N. 12th St. Suite 1100, Milwaukee, WI 53233 | 2018-08-03 |
| 1801373378 | Froedtert & The Medical College of Wisconsin Community Physicians | Non-Pharmacy Dispensing Site | 1721 W Canal St, Milwaukee, WI 53233 | 2018-07-26 |
| 1184170706 | Lauren Troll | Physical Therapist | 925 N 12th Street, Milwaukee, WI 53233 | 2016-09-01 |
| 1942694401 | Iryna Nemesh | Internal Medicine | 1020 N 12th St Fl 2, Milwaukee, WI 53233 | 2015-03-23 |
| 1649676032 | Matina Angelopoulou | Dentist | 1801 West Winsconsin Ave, Milwaukee, WI 53233 | 2014-11-12 |
| 1780007831 | John Ladisa | Technician, Other | 1637 W. Wisconsin Ave, Room 311, Milwaukee, WI 53233 | 2014-01-27 |
| Find all providers in zip 53233 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669095303 | Generational Cycles LLC | Psychologist | 2208 W Rohr Ave, Milwaukee, WI 53209-5057 | 2020-05-27 |
| 1396309076 | John Nathaniel Greene Jr. | Psychologist | 6100 N 42nd St, Milwaukee, WI 53209-3560 | 2019-04-27 |
| 1851889901 | Elliot L Broch | Psychologist | 3266 N 53rd St, Milwaukee, WI 53216-3248 | 2018-04-24 |
| 1457858573 | Nina Sathasivam-rueckert | Psychologist | Zablocki Va Medical Center 5000 West National Avenue, Milwaukee, WI 53295 | 2018-04-06 |
| 1043730864 | Venice Anderson | Psychologist | 5000 W National Ave Bldg 109, Milwaukee, WI 53295-0001 | 2017-06-22 |
| 1306230057 | Henry Boeh | Psychologist | 250 N. Sunnyslope Road, Suite 203, Milwaukee, WI 53213-3574 | 2015-03-19 |
| 1851794382 | Dr. Robert A Gruenberg | Psychologist | 6213 N Green Bay Ave., Milwaukee, WI 53209-3823 | 2014-09-29 |
| 1538590393 | Psychological Purposes LLC | Psychologist | 3229 S Adams Ave, Milwaukee, WI 53207-2705 | 2013-12-04 |
| 1568890150 | David Phelps | Psychologist | 401 E Kilbourn Ave, Suite 402, Milwaukee, WI 53202-3212 | 2013-10-17 |
| 1366788994 | Christina Mh Engn | Psychologist | 740 N Plankinton Ave Ste 334, Milwaukee, WI 53203-2403 | 2012-12-31 |
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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.