SIDNEY KIEPPE NELSON (NPI# 1992051320) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992051320 |
| Entity Type | Individual |
| Full Name | SIDNEY KIEPPE NELSON |
| Practice Address |
3410 Executive Dr. Ste 203, Bldg 1 Raleigh NC 27609 |
| Practice Telephone | 9198035869 |
| Practice Fax Number | 8662508188 |
| Mailing Telephone | 9198035869 |
| Mailing Fax Number | 8662508188 |
| Enumeration Date | 2012-08-03 |
| Last Update Date | 2012-08-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 222Z00000X | Orthotist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 224P00000X | Prosthetist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033152541 | Sidney Nelson IIi | Internal Medicine | 1840 Reisterstown Rd, Pikesville, MD 21208-1305 | 2006-06-13 |
| Street Address |
3410 EXECUTIVE DR. STE 203, BLDG 1 |
| City | RALEIGH |
| State | NC |
| Zip Code | 27609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184235582 | Choice Service Solutions LLC | In Home Supportive Care | 5300 Six Fox Rd Siite205, Raleigh, NC 27609 | 2020-08-11 |
| 1003426073 | Rosana Oba -rovira | Registered Nurse | 5300 Six Fox Road, Suite 205, Raleigh, NC 27609 | 2020-08-05 |
| 1821612706 | Helen Alexandra Bonner | Physical Medicine & Rehabilitation | Hey Clinic Pa, 3320 Wake Forest Road Ste 450, Raleigh, NC 27609 | 2020-06-05 |
| 1215423579 | Appiah Nana Larbi | Social Worker | Easter Seals Ucp 4000 Wake Forest Rd Ste 200, Raleigh, NC 27609 | 2018-07-10 |
| 1215423777 | Broadway Home Care LLC | In Home Supportive Care | 107 Windel Dr Ste 105, Raleigh, NC 27609 | 2018-07-09 |
| 1275027948 | Lacey Allene Cottingham | Social Worker | 312 W Millbrook Rd Ste 129, Raleigh, NC 27609 | 2018-06-18 |
| 1447748819 | Integrated Dermatology of North Raleigh, Pllc | Dermatology | 3809 Computer Dr Ste 200, Raleigh, NC 27609 | 2018-05-01 |
| 1902325418 | Naomi Christine Askew | Nurse Practitioner | 3400 Wake Forest Drive, Bldg 9, Bldg #9, 4th Floor, Raleigh, NC 27609 | 2017-09-15 |
| 1962929679 | Alexia Montague | Social Worker | 1306 Paddock Drive Suite E-100, Raleigh, NC 27609 | 2017-08-23 |
| 1730602236 | Chantel Washington-mbuthia | Counselor | 1100 Logger Ct. Ste C100, Heartfelt Alternative Inc, Raleigh, NC 27609 | 2017-07-18 |
| Find all providers in zip 27609 | ||||
| Taxonomy Code | 222Z00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Orthotist |
| A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538714068 | George J Henderon | Orthotist | 5313 Duraleigh Road, Ste 151, Raleigh, NC 27612 | 2019-08-01 |
| 1790346559 | Alexander Hedquist | Orthotist | 3224 Lake Woodard Dr Ste 100, Raleigh, NC 27604-3659 | 2019-06-24 |
| 1336586080 | Charles Steven Woolfe | Orthotist | 3410 Executive Dr Ste 203, Medical Office Building 1, Raleigh, NC 27609-7400 | 2013-06-03 |
| 1457376931 | Marco T Calcagno | Orthotist | 9120 Deershire Ct, Raleigh, NC 27615-4099 | 2006-07-13 |
| 1952352270 | Robert B Walters | Orthotist | 3909 Sunset Ridge Rd, Ste 103, Raleigh, NC 27607-6667 | 2006-05-12 |
| 1356940506 | Manuel Contreras | Orthotist | 3031 New Bern Ave Ste 102, Raleigh, NC 27610-2989 | 2020-10-20 |
| 1275163347 | David Benjamin Wright | Orthotist | 3320 Executive Dr Ste 210, Raleigh, NC 27609-7445 | 2020-01-17 |
| 1306348354 | Jillian Kay Hitchcock | Orthotist | 3410 Executive Dr Ste 203, Raleigh, NC 27609-7400 | 2018-03-06 |
| 1104328368 | Alexandra Patricia Frost | Orthotist | 3031 New Bern Ave Ste 102, Raleigh, NC 27610-2989 | 2018-03-05 |
| 1669984035 | Sean Robert Wooldridge | Orthotist | 3031 New Bern Ave Ste 102, Raleigh, NC 27610-2989 | 2017-10-25 |
| Find all providers in RALEIGH | ||||
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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.