KRISTEN MICHELLE NELSON (NPI# 1073720868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073720868 |
| Entity Type | Individual |
| Full Name | KRISTEN MICHELLE NELSON |
| Credential | MD |
| Practice Address |
101 Skyline Dr Russellville AR 72801-3363 |
| Practice Telephone | 4799682345 |
| Practice Fax Number | 4798907169 |
| Mailing Telephone | 4799682345 |
| Mailing Fax Number | 4798907169 |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2015-02-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | E-6533 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 185138001 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013118249 | Kristen Nelson | Occupational Therapist | 469 Botany Blvd, Santa Rosa Beach, FL 32459-7196 | 2007-05-28 |
| 1033237359 | Kristen Nelson | Dental Hygienist | 202b Main St, New Madrid, MO 63869-1911 | 2007-03-26 |
| 1891760823 | Kristen R Nelson | Obstetrics & Gynecology | 1875 Woodwinds Dr Ste 110, Woodbury, MN 55125-2501 | 2006-02-22 |
| 1023631868 | Kristen A Nelson | Social Worker | 1531 Riverside Ave, Fort Collins, CO 80524-4387 | 2020-05-27 |
| 1194385583 | Kristen Nelson | Nurse Anesthetist, Certified Registered | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2019-06-18 |
| 1750842696 | Kristen Nelson | Registered Nurse | 1 Saint Francis Dr, Greenville, SC 29601-3955 | 2019-03-25 |
| 1174004568 | Kristen Marie Nelson | Physician Assistant | 1510 Nc Highway 68 N, Oak Ridge, NC 27310-9733 | 2018-08-24 |
| 1427539022 | Kristen Nelson | Physical Therapist | 3 Summit Ct, Fishkill, NY 12524-1334 | 2018-08-22 |
| 1144759929 | Kristen Elise Nelson | Chiropractor | 1565 Saxon Blvd Ste 103, Deltona, FL 32725-5823 | 2017-06-06 |
| 1982154647 | Kristen Danielle Nelson | Behavioral Analyst | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2016-10-06 |
| Street Address |
101 SKYLINE DR |
| City | RUSSELLVILLE |
| State | AR |
| Zip Code | 72801-3363 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619971140 | Carl I Schoenberger | Internal Medicine | 101 Skyline Dr, Russellville, AR 72801-3363 | 2005-06-13 |
| 1912486648 | Kendra Leann Hubbard | Nurse Practitioner | 101 Skyline Dr, Russellville, AR 72801-3363 | 2018-08-13 |
| 1790286904 | Brittany Lasha Burris | Nurse Practitioner | 101 Skyline Dr, Russellville, AR 72801-3363 | 2018-02-22 |
| 1891294443 | Ashley Nicole Baker | Nurse Practitioner | 101 Skyline Dr, Russellville, AR 72801-3363 | 2018-02-09 |
| 1508233701 | Sparta Corp | Family Medicine | 101 Skyline Dr, Russellville, AR 72801-3363 | 2015-08-24 |
| 1467835611 | Keena Melton | Registered Nurse | 101 Skyline Dr, Russellville, AR 72801-3363 | 2015-07-07 |
| 1194144964 | Noma Wilkinson Kellner | Nurse Practitioner | 101 Skyline Dr, Russellville, AR 72801-3363 | 2014-04-09 |
| 1992049241 | Sarah Minoo Azami | Nurse Practitioner | 101 Skyline Dr, Russellville, AR 72801-3363 | 2012-11-26 |
| 1629336078 | Jonathan David Brixey | Internal Medicine | 101 Skyline Dr, Russellville, AR 72801-3363 | 2012-04-23 |
| 1629343868 | Kelly A Traylor | Nurse Practitioner | 101 Skyline Dr, Russellville, AR 72801-3363 | 2012-03-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962002782 | Randy Paul Stayton | Pharmacist | 2109 W Main, Russellville, AR 72801 | 2020-10-30 |
| 1871134825 | Just Spreading Love Senior Care LLC | Student in an Organized Health Care Education/Training Program | 1411 N. Pittsburg Avenue, Russellville, AR 72801 | 2019-10-01 |
| 1124670369 | Richard L Morgan Dds Pa | Dentist | 1700 West C Place, Russellville, AR 72801 | 2019-07-09 |
| 1407342371 | Andrew James Hickman | Optometrist | 2711 E Parkway Drive, Russellville, AR 72801 | 2018-07-03 |
| 1154859833 | Felicia Head | Speech-Language Pathologist | 220 W 10th St., Russellville, AR 72801 | 2017-05-25 |
| 1295281293 | Arkansas Liver and Gastroenterology, P.a. | Internal Medicine | 1605 West Main Street, Russellville, AR 72801 | 2016-08-30 |
| 1467802405 | Kah Development 4, LLC | Hospice Care, Community Based | 3801 W Main St Ste A, Russellville, AR 72801 | 2016-06-21 |
| 1871904839 | Sleep Partners, LLC | Clinic/Center | 1310 West B Street, Suite A, Russellville, AR 72801 | 2014-05-13 |
| 1942647029 | Rpi Sleep Complete LLC | Clinic/Center | 1310 West Main Street, Suite 201, Russellville, AR 72801 | 2013-05-29 |
| 1184967291 | Amedco Arkansas Pllc | Optometrist | 302 N. Phoenix Ave., Clark Eye Clinic, Russellville, AR 72801 | 2013-03-27 |
| Find all providers in zip 72801 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194907394 | Lakeshore Pediatrics of Russellville | Pediatrics | 603 Gandy St Ne, Russellville, AL 35653-1911 | 2007-11-29 |
| 1740246552 | Neylon Pilkington | Pediatrics | 220 N Sidney, Russellville, AR 72801 | 2006-04-21 |
| 1528021474 | Rizk M Abdel Moutagaly | Pediatrics | 715 Gandy St, Russellville, AL 35653 | 2006-04-11 |
| 1265405005 | Varsha Humble | Pediatrics | 1497 Nashville St, Russellville, KY 42276 | 2006-02-10 |
| 1134637556 | Russellville Pediatric & Adolescent Clinic, Pa | Pediatrics | 220 N Sidney Ave, Russellville, AR 72801-4389 | 2018-01-19 |
| 1285145169 | Arkansas Family Care Network | Pediatrics | 220 N Sidney Ave, Russellville, AR 72801-4389 | 2017-10-18 |
| 1609310358 | Priority Primary Care LLC | Pediatrics | 60 Shelton Ln, Russellville, KY 42276-7203 | 2016-12-15 |
| 1376834994 | Howard Madison Orsburn Iv | Pediatrics | 101 Skyline Dr, Russellville, AR 72801-3363 | 2011-04-30 |
| 1326339557 | Chadwick Jerold Masters | Pediatrics | 101 Skyline Dr, Russellville, AR 72801-3363 | 2011-04-21 |
| 1457553737 | Britney Anne Bertsch | Pediatrics | 1497 Nashville St, Russellville, KY 42276-8850 | 2007-05-31 |
| Find all providers in RUSSELLVILLE | ||||
| City | RUSSELLVILLE |
| Zip Code | 72801 |
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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.