MR. BRIAN VERNON NELSON (NPI# 1003844929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003844929 |
| Entity Type | Individual |
| Full Name | MR. BRIAN VERNON NELSON |
| Credential | LP, LSP |
| Practice Address |
3305 Casco Cir Wayzata MN 55391-9718 |
| Practice Telephone | 9524717211 |
| Practice Fax Number | 9524717211 |
| Mailing Telephone | 9523936280 |
| Mailing Fax Number | 9524717211 |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2008-08-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
LP1543 | MN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 224750000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366941692 | Brian Russell Nelson | Physical Therapist | Randolph Health Deep River Physical Therapy, 600 W Salisbury Street Suite A, Asheboro, NC 27203-5591 | 2018-02-01 |
| 1538516307 | Brian Nelson | Counselor | 6902 Se Lake Rd Ste 300, Milwaukie, OR 97267-2148 | 2016-05-20 |
| 1740653344 | Brian J Nelson | Hearing Instrument Specialist | 1092 Milwaukee Ave, Burlington, WI 53105-1362 | 2015-11-04 |
| 1639302540 | Brian William Nelson | Social Worker | 3320 Midland Ct, Abingdon, MD 21009-2505 | 2009-08-25 |
| 1558485227 | Brian Emery Nelson | Chiropractor | 6647 Se Woodstock Blvd, Portland, OR 97206-6656 | 2007-03-19 |
| 1255499943 | Brian S Nelson | Family Medicine | 7977 Crampton Ln, Frisco, TX 75035-3161 | 2006-12-05 |
| 1013546548 | Brian George Nelson | Military Health Care Provider | 34800 Bob Wilson Dr, San Diego, CA 92134-1098 | 2020-04-06 |
| 1669930012 | Brian Nelson | Counselor | 3450 Oleary Ln, Eagan, MN 55123-2340 | 2019-03-05 |
| 1508366964 | Brian Nelson | Licensed Vocational Nurse | 1200 N Main St Ste 650, Santa Ana, CA 92701-3613 | 2018-02-12 |
| 1568912590 | Brian Dale Nelson | Specialist/Technologist | 3200 College Ave, Beaver Falls, PA 15010-3557 | 2016-10-13 |
| Street Address |
3305 CASCO CIR |
| City | WAYZATA |
| State | MN |
| Zip Code | 55391-9718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992171110 | Tonka Life Center | Psychologist | 3305 Casco Cir, Wayzata, MN 55391-9718 | 2015-08-12 |
| 1245269232 | Brian V. Nelson, Lp | Psychologist | 3305 Casco Cir, Wayzata, MN 55391-9718 | 2006-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386456 | Alexandra Lloyd Conroy | Counselor | 3227 Lake Shore Boulevard, Minnetonka, MN 55391 | 2020-11-07 |
| 1417579178 | Kate Anne Schroeder | Behavioral Analyst | 901 Twelve Oaks Center Drive Suite 934, Wayzata, MN 55391 | 2020-05-15 |
| 1467940478 | Tyler Michael Knutson | Chiropractor | 1421 E Wayzata Blvd, Wayzata, MN 55391 | 2018-04-25 |
| 1427552025 | Emma Nadler, L.L.C. | Counselor | 700 Twelve Oaks Center Dr. #263, Wayzata, MN 55391 | 2018-03-20 |
| 1730687757 | Global Home Care Inc | Home Health | 1001 Twelve Oaks Center Drive, Suite 1018, Wayzata, MN 55391 | 2018-01-24 |
| 1205362472 | Oraphanh Vongpheth Smith | Registered Nurse | 801 Twelve Oaks Center Drive, Suite 822, Wayzata, MN 55391 | 2017-05-10 |
| 1386189272 | Wayzata Endodontics, P.a. | Dentist | 101 Lake Street West, Suite 100, Wayzata, MN 55391 | 2016-12-30 |
| 1952763351 | Watershed Psychological Services | Clinic/Center | 4255 Pheasant Ridge Drive, Suite 412, Blaine, MN 55391 | 2016-03-24 |
| 1477923571 | Robert J. Floren | Marriage & Family Therapist | 801 Twelve Oaks Center Dr Ste 816a, Wayzata, MN 55391 | 2015-10-01 |
| 1194101055 | Bruce Martinson Family & Cosmetic Dentistry | Dentist | 317 E Wayzata Blvd, Wayzata, MN 55391 | 2015-08-03 |
| Find all providers in zip 55391 | ||||
| Taxonomy Code | 103TB0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Cognitive & Behavioral |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366658759 | Harry Mark Hoberman | Psychologist | 641 Lake St E, Suite 222, Wayzata, MN 55391-6400 | 2007-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295347854 | Shining Light Skill Building LLC | Psychologist | 3055 Old Highway 8 Ste 106b, St. Anthony, MN 55418 | 2020-08-17 |
| 1245750652 | Sara Vaccarella | Psychologist | 331 W Superior St Ste 300, Duluth, MN 55802-4532 | 2017-06-27 |
| 1780124305 | Families First Counseling Services LLC | Psychologist | 103 S Kingston St, Caledonia, MN 55921-1315 | 2017-03-01 |
| 1598150930 | Nova Bhs | Psychologist | 521 Tanglewood Dr., Shoreview, MN 55126 | 2015-04-02 |
| 1801208566 | Rose Mary Boerboom | Psychologist | 415 N 1st St, #502, Minneapolis, MN 55401-4305 | 2014-05-28 |
| 1881015253 | Lucas Bosco Wanga | Psychologist | 715 Edgerton Street, Merrick Community Services, St. Paul, MN 55130 | 2014-01-02 |
| 1992145288 | Rowan P Buckley | Psychologist | 6825 Owen St Ste 201, Loretto, MN 55357-9713 | 2013-07-01 |
| 1063781771 | Julie Ann Gomer | Psychologist | 13700 Reimer Dr N Ste 220, Maple Grove, MN 55311-4548 | 2011-12-26 |
| 1750697587 | Megan Horwitz Plumstead | Psychologist | 1619 Dayton Ave Ste 327, Saint Paul, MN 55104-6495 | 2010-08-31 |
| 1073826913 | Scott Michael Jacoby | Psychologist | 2110 Lyndale Ave S, Minneapolis, MN 55405-3196 | 2010-07-20 |
| 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.