MRS. CAROL LYNNE NELSON (NPI# 1114093069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114093069 |
| Entity Type | Individual |
| Full Name | MRS. CAROL LYNNE NELSON |
| Credential | FNP |
| Practice Address |
17876 Saint Clair Ave Cleveland OH 44110 |
| Mailing Address |
17876 Saint Clair Ave Cleveland OH 44110-2602 |
| Practice Telephone | 2166455539 |
| Practice Fax Number | 2162980241 |
| Mailing Telephone | 2166455539 |
| Mailing Fax Number | 2162980241 |
| Enumeration Date | 2006-11-24 |
| Last Update Date | 2019-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
F332060 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02175208 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3023 Route 430, Greenhurst, NY 14742 | 7164835000 | 7169856640 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881914786 | Carol Lynn Nelson | Social Worker | 8767 Seminole Trl Ste 201c, Ruckersville, VA 22968-3494 | 2010-06-03 |
| 1609014307 | Carol Ann Nelson | Speech-Language Pathologist | 27 Palmetto St # 7, Brooklyn, NY 11221-4306 | 2009-02-03 |
| 1366642902 | Carol Elaine Nelson | Counselor | 406 Grant Ave, Duquesne, PA 15110 | 2007-07-23 |
| 1710923396 | Carol A. Nelson | Specialist/Technologist | 125 Wintergreen Ave, Southern Connecticut State University - Mfh, New Haven, CT 06515-1059 | 2006-06-21 |
| 1699738278 | Carol F Nelson | Nurse Practitioner | 7300 North Perimeter Rd, Malmstrom Afb, MT 59402 | 2006-04-06 |
| 1316937600 | Carol Ann Nelson | Midwife | 198 Second Rd, Summertown, TN 38483-8018 | 2005-10-26 |
| 1548508690 | Carol S Nelson | Marriage & Family Therapist | 163 2nd St, Woodland, CA 95695-3316 | 2013-01-24 |
| 1013154699 | Carol Nelson | Social Worker | 2225 W Broadway, Louisville, KY 40211-1003 | 2009-01-19 |
| 1225169402 | Carol Boush Nelson | Nurse Practitioner | 12201 Plum Orchard Dr, Silver Spring, MD 20904-7803 | 2007-03-08 |
| 1205975612 | Carol Kay Nelson | Speech-Language Pathologist | 33515 10 Pl S, 13 Cc Manning and Associates, Federal Way, WA 98003-7300 | 2007-02-05 |
| Street Address |
17876 SAINT CLAIR AVE |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942206388 | Paul F Hergenroeder | Internal Medicine | 17876 Saint Clair Ave, Cleveland, OH 44110 | 2005-06-21 |
| 1568075935 | Miranda Louise Raggets | Nurse Practitioner | 17876 Saint Clair Ave, Cleveland, OH 44110-2602 | 2020-08-26 |
| 1578111696 | Amanda Dawn Bovee | Nurse Practitioner | 17876 Saint Clair Ave, Cleveland, OH 44110 | 2019-09-02 |
| 1821646589 | Jennah Hassel | Nurse Practitioner | 17876 Saint Clair Ave, Cleveland, OH 44110-2602 | 2019-08-27 |
| 1285295980 | Cynthia Lynn Boggins | Nurse Practitioner | 17876 Saint Clair Ave, Cleveland, OH 44110-2602 | 2019-06-24 |
| 1477033918 | Susan Lacey Antonelli | Nurse Practitioner | 17876 Saint Clair Ave, Cleveland, OH 44110-2602 | 2018-08-15 |
| 1386120905 | Eric F Kennedy | Licensed Practical Nurse | 17876 Saint Clair Ave, Cleveland, OH 44110-2602 | 2018-07-17 |
| 1689150773 | Nicole Marie Sugalski | Nurse Practitioner | 17876 Saint Clair Ave, Cleveland, OH 44110 | 2018-07-12 |
| 1487157806 | Erin Welo | Nurse Practitioner | 17876 Saint Clair Ave, Cleveland, OH 44110-2602 | 2018-03-12 |
| 1336672104 | Micaela Pap | Nurse Practitioner | 17876 Saint Clair Ave, Cleveland, OH 44110-2602 | 2017-04-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265952287 | Tamika Bonner-conway | Licensed Practical Nurse | 15315 Lucknow Ave, Cleveland, OH 44110 | 2017-06-21 |
| 1831554039 | Neecy's Transportation LLC | Non-emergency Medical Transport (VAN) | 14036 St.clair Ave, Cleveland, OH 44110 | 2015-12-15 |
| 1770970758 | Sherri Craig | Home Health Aide | 16201b Lakeshore Blvd Apt123, Cleveland, OH 44110 | 2015-04-17 |
| 1538576897 | Alayjah M Terrell | Home Health Aide | 917 East 150th, Cleveland, OH 44110 | 2014-07-18 |
| 1700204955 | East Academy, Inc. | Local Education Agency (LEA) | 17520 Kipling, Cleveland, OH 44110 | 2014-04-04 |
| 1578990867 | Delaundria Denise Benjamin | Licensed Practical Nurse | 14206 Westropp Ave, Apt. 211, Cleveland, OH 44110 | 2013-10-01 |
| 1114262789 | Epiphany Damaja Baker | Home Health Aide | 892 E. 139th Street, Cleveland, OH 44110 | 2012-12-07 |
| 1174872543 | Sarah Ann Blowers | Nurse Practitioner | 17876 St. Clair Avenue, Cleveland, OH 44110 | 2012-08-31 |
| 1447495312 | Kathy Jean Taylor | Non-emergency Medical Transport (VAN) | 15218 Lakeshore Blvd, Cleveland, OH 44110 | 2008-12-08 |
| 1689832420 | Glenda Alise Johnson | Nursing Home Administrator | 13514 Kelso Ave, Cleveland, OH 44110 | 2008-05-29 |
| Find all providers in zip 44110 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215536370 | Jennifer Lynn Moore | Nurse Practitioner | 203 N College Ave Ste 1001, Cleveland, TX 77327-2500 | 2020-10-20 |
| 1508464132 | Molly Kane Kane Elek | Nurse Practitioner | 17801 Susan Ave, Cleveland, OH 44111-4148 | 2020-10-15 |
| 1619583424 | Paulina Kauzljar | Nurse Practitioner | 11100 Euclid Ave # 1635, Cleveland, OH 44106-1716 | 2020-09-17 |
| 1508479379 | April Danielle Daniel | Nurse Practitioner | 200 E Boothe St Ste 100, Cleveland, TX 77327-4063 | 2020-08-31 |
| 1730792037 | Jalayn Konys | Nurse Practitioner | 3653 W 159th St, Cleveland, OH 44111-5704 | 2020-08-26 |
| 1962014142 | Cassie Ann Williams | Nurse Practitioner | 470 8th St Nw, Cleveland, TN 37311-1811 | 2020-08-19 |
| 1417565912 | Jenae Camille Hennessey | Nurse Practitioner | 3278 Lakewood Dr Nw, Cleveland, TN 37312-2093 | 2020-07-21 |
| 1851918841 | Leslie Torchick Casteel | Nurse Practitioner | 2305 Chambliss Ave Nw Ste 101, Cleveland, TN 37311-3847 | 2020-06-25 |
| 1306462478 | Brooke Denise Booher | Nurse Practitioner | 611 Bell Rd Se, Cleveland, TN 37323-9003 | 2020-06-24 |
| 1174146823 | Andrew John Wrobel | Nurse Practitioner | 3188 W 14th St, Unit 1, Cleveland, OH 44109 | 2020-05-28 |
| Find all providers in CLEVELAND | ||||
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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.