KRISTIN NELSON (NPI# 1053973123) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053973123 |
| Entity Type | Individual |
| Full Name | KRISTIN NELSON |
| Credential | DMD |
| Practice Address |
2851 University Ave Green Bay WI 54311-5855 |
| Mailing Address |
836 Franklin St Louisville KY 40206-1612 |
| Practice Telephone | 9204312500 |
| Enumeration Date | 2019-06-28 |
| Last Update Date | 2019-06-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205211513 | Kristin Nelson | Specialist | 901 Babcock Blvd E, Delano, MN 55328-8600 | 2015-07-28 |
| 1689923005 | Kristin Noel Nelson | Speech-Language Pathologist | 48 Dally Ln, Buffalo, WY 82834-9491 | 2012-08-30 |
| 1225341191 | Kristin Wunker Nelson | Physician Assistant | 1890 Lpga Blvd Ste 250, Daytona Beach, FL 32117-7131 | 2010-07-21 |
| 1174642987 | Kristin Nelson | Occupational Therapy Assistant | 427 N Phillips St, Seaford, DE 19973-2305 | 2007-03-29 |
| 1144389636 | Kristin Ann Nelson | Dentist | 50 W Nicollet Blvd, Burnsville, MN 55337-4524 | 2006-12-08 |
| 1265539365 | Kristin Ann Nelson | Counselor | 9110 Foxtail Dr, Lincoln, NE 68526-9521 | 2006-09-20 |
| 1447874060 | Kristin Nelson | Optometrist | 120 E Countryside Pkwy, Yorkville, IL 60560-1877 | 2020-05-29 |
| 1043778731 | Kristin R Nelson | Pain Medicine | 1044 N Francisco Ave Ste 404, Chicago, IL 60622-2743 | 2019-03-12 |
| 1134604416 | Kristin Nelson | Behavior Technician | 3110 Camino Del Rio S Ste 307, San Diego, CA 92108-3832 | 2018-10-02 |
| 1871094128 | Kristin Nelson | Physical Therapist | 3860 Dobie Rd, Okemos, MI 48864-3704 | 2018-02-22 |
| Street Address |
2851 UNIVERSITY AVE |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54311-5855 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275845414 | Michelle Schleis | Optometrist | 2851 University Ave, Green Bay, WI 54311-5855 | 2010-07-03 |
| 1154932739 | Brenna Rainey | Pharmacist | 2851 University Ave, Green Bay, WI 54311-5855 | 2020-08-16 |
| 1891310827 | James Boddy | Registered Nurse | 2851 University Ave, Green Bay, WI 54311-5855 | 2020-06-16 |
| 1013531656 | Michael Tadayuki Miyamoto | Student in an Organized Health Care Education/Training Program | 2851 University Ave, Green Bay, WI 54311-5855 | 2020-05-29 |
| 1184245326 | Kevin Michael Hansen | Student in an Organized Health Care Education/Training Program | 2851 University Ave, Green Bay, WI 54311-5855 | 2020-04-28 |
| 1346869625 | Jessica Rae Enright | Registered Nurse | 2851 University Ave, Green Bay, WI 54311-5855 | 2020-04-16 |
| 1689201832 | Ifeanyi Jeffrey Mbah | Student in an Organized Health Care Education/Training Program | 2851 University Ave, Green Bay, WI 54311-5855 | 2020-03-26 |
| 1235762527 | Michael James Valerius | Registered Nurse | 2851 University Ave, Green Bay, WI 54311-5855 | 2020-02-15 |
| 1578110490 | Lisa Ann Rienow | Nurse Practitioner | 2851 University Ave, Green Bay, WI 54311-5855 | 2019-08-26 |
| 1487209623 | Deanna R Nelson | Dietitian, Registered | 2851 University Ave, Green Bay, WI 54311-5855 | 2019-08-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295333847 | Karen Ginnow | Pharmacist | Walmart #1908, 2292 Main St, Green Bay, WI 54311 | 2020-10-15 |
| 1639786551 | Maggie Hall | Dental Hygienist | 2633 Development Dr. Ste 40, Green Bay, WI 54311 | 2020-09-24 |
| 1295370807 | Jennifer Marie Arendt | Technician | 2970 Mossy Oak Cir #39, Green Bay, WI 54311 | 2019-11-07 |
| 1518508803 | Cheryl Ann Johnson | Specialist | 830 Edgewood Dr., Green Bay, WI 54311 | 2019-10-08 |
| 1124670898 | Robert H Wagner Family Dentist S.c. | Dentist | 2830 Curry Court, Suite 1, Green Bay, WI 54311 | 2019-07-12 |
| 1821659624 | The Salvation Army | Counselor | The Salvation Army Ray & Joan Kroc Center, 1315 Lime Kiln Road, Green Bay, WI 54311 | 2019-06-24 |
| 1578052866 | Matthew Robert Wagner | Dentist | 2830 Curry Ln #1, Green Bay, WI 54311 | 2018-05-02 |
| 1861916769 | Atlas Spinal Care | Chiropractor | 2069 Central Ct, Suite 11, Green Bay, WI 54311 | 2017-08-01 |
| 1851844161 | Green Bay Family Dental LLC | Dentist | 2609 Development Dr., Green Bay, WI 54311 | 2016-08-03 |
| 1710382809 | Betsy Hoida | Pharmacist | 2485 Greenbrier Rd., Green Bay, WI 54311 | 2014-10-31 |
| Find all providers in zip 54311 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205474905 | Nonglee Moua | Student in an Organized Health Care Education/Training Program | 345 Westplain Dr, Green Bay, WI 54303-3367 | 2019-12-13 |
| 1386138568 | Casey Gerald Deshambo | Student in an Organized Health Care Education/Training Program | 2100 Memorial Dr Apt 207, Green Bay, WI 54303-5309 | 2018-06-20 |
| 1164940375 | Kaeley Rae Blaney | Student in an Organized Health Care Education/Training Program | 2088 Memorial Drive #208, Green Bay, WI 54303 | 2017-09-07 |
| 1932632353 | Jacqueline Wanezek | Student in an Organized Health Care Education/Training Program | 2365 Donarski Ct, Green Bay, WI 54302-4329 | 2017-04-04 |
| 1013531656 | Michael Tadayuki Miyamoto | Student in an Organized Health Care Education/Training Program | 2851 University Ave, Green Bay, WI 54311-5855 | 2020-05-29 |
| 1669093175 | Lacey Renee Anderson | Student in an Organized Health Care Education/Training Program | 835 S Van Buren St, Green Bay, WI 54301-3526 | 2020-05-06 |
| 1184245326 | Kevin Michael Hansen | Student in an Organized Health Care Education/Training Program | 2851 University Ave, Green Bay, WI 54311-5855 | 2020-04-28 |
| 1689201832 | Ifeanyi Jeffrey Mbah | Student in an Organized Health Care Education/Training Program | 2851 University Ave, Green Bay, WI 54311-5855 | 2020-03-26 |
| 1689236531 | Heidi Marie Wennesheimer | Student in an Organized Health Care Education/Training Program | 1061 W Mason St, Green Bay, WI 54303-1858 | 2019-07-01 |
| 1942862982 | Nisa Keane Liberty | Student in an Organized Health Care Education/Training Program | 2851 University Ave, Green Bay, WI 54311-5855 | 2019-06-29 |
| Find all providers in GREEN BAY | ||||
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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.