DR. CAITLYN ELIZABETH NELSON (NPI# 1043660160) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043660160 |
| Entity Type | Individual |
| Full Name | DR. CAITLYN ELIZABETH NELSON |
| Credential | D.D.S |
| Practice Address |
107 Koontz Ave Ste 200 Clendenin WV 25045 |
| Mailing Address |
107 Koontz Ave Ste 200 Clendenin WV 25045-9581 |
| Practice Telephone | 3045482160 |
| Mailing Telephone | 3045482160 |
| Enumeration Date | 2016-06-20 |
| Last Update Date | 2019-04-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
4260 | WV | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 121 Hendersonville Rd, Asheville, NC 288032868 | 3047675464 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356958441 | Caitlyn Nelson | Case Manager/Care Coordinator | 179 Woodlawn Dr, Hartshorne, OK 74547-5271 | 2020-09-23 |
| Street Address |
107 KOONTZ AVE STE 200 |
| City | CLENDENIN |
| State | WV |
| Zip Code | 25045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770659062 | Elizabeth A Mcclellan | Psychiatry & Neurology | 107 Koontz Ave Ste 200, Clendenin, WV 25045-9581 | 2006-11-28 |
| 1710456546 | Chava Zemirah Urecki | Psychologist | 107 Koontz Ave Ste 200, Clendenin, WV 25045-9581 | 2018-11-22 |
| 1760858401 | Kerry Drabish | Nurse Practitioner | 107 Koontz Ave Ste 200, Clendenin, WV 25045-9581 | 2015-08-17 |
| 1407259062 | Clendenin Health Center Lab | Family Medicine | 107 Koontz Ave Ste 200, Clendenin, WV 25045-9581 | 2014-09-26 |
| 1114266327 | Rachael D. Mitchell | Physician Assistant | 107 Koontz Ave Ste 200, Clendenin, WV 25045-9581 | 2013-02-07 |
| 1811249956 | Jennifer Lynn Thayer | Physician Assistant | 107 Koontz Ave Ste 200, Clendenin, WV 25045-9581 | 2012-10-14 |
| 1700037744 | Mary Ann Maurer | Family Medicine | 107 Koontz Ave Ste 200, Clendenin, WV 25045-9581 | 2008-10-08 |
| 1962616789 | Barbara M Michael | Family Medicine | 107 Koontz Ave Ste 200, Clendenin, WV 25045-9581 | 2007-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669088753 | Tammie Ann Cummings | Technician | 1266 Kelliehillrd, Clendenin, WV 25045 | 2020-09-23 |
| 1467063289 | Barbara E Gross | Technician | 10546 Elk River Rd, Clendenin, WV 25045 | 2020-08-14 |
| 1437676392 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 8699 Elk River Rd North, Clendenin, WV 25045 | 2017-08-23 |
| 1982984324 | Jennifer Marie Snell | Pharmacist | 2 First Ave S, Clendenin, WV 25045 | 2011-08-17 |
| 1629290218 | Douglas Joseph Donovall Jr. | Pharmacist | 2 First Ave South, Clendenin, WV 25045 | 2007-05-03 |
| 1912085549 | Lawrence Henry Schoonover | Dentist | 1 French Street, Clendenin, WV 25045 | 2006-11-01 |
| 1437199742 | Cabin Creek Health Center, Inc. | Clinic/Center | 107 Koontz Ave., Suite 200, Clendenin, WV 25045 | 2006-06-07 |
| 1790754638 | Mary E Grandon | Physician Assistant | 107 Koontz Ave. Ste. 200, Clendenin, WV 25045 | 2006-03-14 |
| 1285928804 | Clendenin Health Center Pharmacy At Riverview | Clinic/Center | 107 Koontz Ave, Clendenin, WV 25045 | 2011-05-31 |
| 1750681011 | Lindsay A Matuszkiewicz | Pharmacist | 10 Main Street, Clendenin, WV 25045 | 2010-11-02 |
| Find all providers in zip 25045 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538774401 | Triadelphia of West Virginia Dental Pllc | Dentist | 219 Cabela Dr, Triadelphia, WV 26059-1022 | 2020-09-09 |
| 1396361598 | Safa Alathari | Dentist | 1554 Mileground Rd Ste A, Morgantown, WV 26505-3749 | 2020-06-23 |
| 1063038677 | Angela Nicole Stowers | Dentist | 2601 1st Ave, Nitro, WV 25143-1713 | 2020-06-19 |
| 1700400231 | Tyler Reed Myers | Dentist | 45 E Benjamin Dr, New Martinsville, WV 26155-2705 | 2020-06-01 |
| 1245871326 | Mason Bishop | Dentist | 402 Red Oak St, Summersville, WV 26651-1000 | 2019-09-30 |
| 1710547039 | Christopher Stephen Mallow | Dentist | 9030 Petersburg Pike, Upper Tract, WV 26866-8014 | 2019-06-18 |
| 1144880808 | Miranda Jo Ferrari | Dentist | 3 Creekstone Rdg, Charleston, WV 25309-8986 | 2019-06-15 |
| 1235797804 | Brennan Matthew Wood | Dentist | 142 Holiday Ln, Lewisburg, WV 24901-9315 | 2019-05-30 |
| 1568923837 | Yulia Meadows | Dentist | 8 Middletown Rd, Fairmont, WV 26554-8102 | 2019-03-28 |
| 1679046049 | Liberty Dental Centers | Dentist | 102 Galleria Plaza, Beckley, WV 25801 | 2019-01-08 |
| 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.