MR. CHRISTOPHER L. NELSON (NPI# 1114911971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114911971 |
| Entity Type | Individual |
| Full Name | MR. CHRISTOPHER L. NELSON |
| Credential | PA |
| Practice Address |
1302 Franklin Ave Ste 4500 Normal IL 61761-3593 |
| Practice Telephone | 3095568300 |
| Practice Fax Number | 3095568293 |
| Mailing Telephone | 3095568300 |
| Mailing Fax Number | 3095568293 |
| Enumeration Date | 2005-09-08 |
| Last Update Date | 2020-01-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
085000452 | IL | Allopathic & Osteopathic Physicians |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
2974 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
085000452 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | Q020561 | 05 | |
| TN | 7100424840 | 05 | |
| TN | BCBS | 6076339/6066808 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 406 N Whitney Ave Ste 5, Cookeville, TN 385014243 | 9317834269 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639788789 | Christopher Benjamin Nelson | Pharmacist | 2235 W 15th St Ste D, Plano, TX 75075-7435 | 2020-07-24 |
| 1164042511 | Christopher Nelson | Student in an Organized Health Care Education/Training Program | 1632 W 105th St, Chicago, IL 60643-2914 | 2020-04-24 |
| 1427546415 | Christopher Nelson | Internal Medicine | 5100 Poplar Ave Ste 512, Memphis, TN 38137-0500 | 2018-04-25 |
| 1235626391 | Christopher Shaun Nelson | Student in an Organized Health Care Education/Training Program | 601 Elmwood Ave Ste Med, Rochester, NY 14642-0001 | 2018-04-15 |
| 1770814253 | Christopher G Nelson | Spec/Tech, Pathology | 29 Black Coal Rd, Ft. Washakie, WY 82514 | 2010-01-22 |
| 1225273246 | Christopher G Nelson | Chiropractor | 548 Roanoke Ave, Riverhead, NY 11901-2726 | 2008-12-04 |
| 1558305029 | Christopher Todd Nelson | Family Medicine | 9100 Highway 14, Gray Court, SC 29645-4152 | 2006-06-15 |
| 1922041615 | Christopher S Nelson | Anesthesiology | 10706 E Us Highway 36, Suite # 7, Avon, IN 46123-7982 | 2006-06-13 |
| 1003860776 | Christopher Nelson | Psychologist | 2120 E Division St, Mount Vernon, WA 98274-4639 | 2006-05-19 |
| 1982653317 | Christopher Grant Nelson Jr. | Dermatology | 350 6th St S, St Petersburg, FL 33701-4449 | 2006-05-10 |
| Street Address |
1302 FRANKLIN AVE STE 4500 |
| City | NORMAL |
| State | IL |
| Zip Code | 61761-3593 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730549510 | Kathryn Grahs | Nurse Practitioner | 1302 Franklin Ave Ste 4500, Normal, IL 61761 | 2016-03-07 |
| 1205123841 | Kartik B Mehta | Internal Medicine | 1302 Franklin Ave Ste 4500, Normal, IL 61761-3593 | 2011-07-04 |
| 1336384460 | Muhammad S Akhtar | Internal Medicine | 1302 Franklin Ave Ste 4500, Normal, IL 61761-3593 | 2008-12-03 |
| 1801084793 | Senthil K Sivalingam | Internal Medicine | 1302 Franklin Ave Ste 4500, Normal, IL 61761 | 2007-10-04 |
| 1194816389 | Ahadi Hakki | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1302 Franklin Ave Ste 4500, Normal, IL 61761-3593 | 2006-09-27 |
| 1407867286 | Ronald D. Curran | Surgery | 1302 Franklin Ave Ste 4500, Normal, IL 61761-3593 | 2006-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629681796 | Brittany Nicole Mekley | Nurse Practitioner | 201 N. University, Normal, IL 61761 | 2020-08-28 |
| 1679108971 | Krystal Halliday | Occupational Therapist | 1815 N Towanda Barnes Rd, Normal, IL 61761 | 2020-03-06 |
| 1265915474 | Laine E Burek | Nurse Practitioner | 1765 Bradford Ln., Normal, IL 61761 | 2018-09-13 |
| 1801389986 | Ashley Michelle James | Specialist/Technologist | 347 S. University St, Normal, IL 61761 | 2018-06-12 |
| 1447750708 | Shelley R. Ruch | Specialist/Technologist, Other | 1604 Visa Drive, Ste 1, Normal, IL 61761 | 2018-02-13 |
| 1497275069 | Mclean County Nursing Home | Non-emergency Medical Transport (VAN) | 901 N. Main St, Normal, IL 61761 | 2017-06-23 |
| 1235673666 | Megan Threm | Registered Nurse | 900 Franklin Ave Community Health Care Clinic, Normal, IL 61761 | 2016-12-04 |
| 1437513553 | Tiesha Smith | Specialist | 1800 Rockingham Dr, Apt 1d, Normal, IL 61761 | 2016-04-06 |
| 1285031658 | New Day Recovery | Community/Behavioral Health | 402 Summit, Normal, IL 61761 | 2014-12-01 |
| 1174927701 | Alyssa Marie Bruck | Occupational Therapist | 700 N Walnut St, Normal, IL 61761 | 2014-10-10 |
| Find all providers in zip 61761 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386017853 | Jessica Hendrix | Physician Assistant | 1302 Franklin Ave Ste 2500, Normal, IL 61761 | 2015-11-05 |
| 1194150466 | Jodi Rappa | Physician Assistant | 1604 Visa Dr, Ste. 2, Normal, IL 61761-2195 | 2013-09-05 |
| 1053744334 | Rylan Miyat | Physician Assistant | 1604 Visa Dr, Ste. 2, Normal, IL 61761-2195 | 2013-08-09 |
| 1285871764 | Emily Wolf | Physician Assistant | 1604 Visa Dr Ste 1, Normal, IL 61761-2195 | 2009-01-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477169522 | Priority Assist Pllc | Physician Assistant | 48 Glenda Ln, Plano, IL 60545-9652 | 2020-09-23 |
| 1154944478 | Diana Goldak | Physician Assistant | 3855 N Parkway Dr Apt 3a, Northbrook, IL 60062-7218 | 2020-05-20 |
| 1033742580 | Colleen Courtney | Physician Assistant | 218 S Driftwood Trl, Mchenry, IL 60050-5454 | 2020-02-12 |
| 1326678962 | Nina Kodros | Physician Assistant | 301 Madison St Ste 280, Joliet, IL 60435-6672 | 2020-01-23 |
| 1689218190 | Jennifer Richman | Physician Assistant | 1890 Silver Cross Blvd Ste 410, New Lenox, IL 60451-9547 | 2019-10-29 |
| 1710547625 | Nadia Khan | Physician Assistant | 4543 N Malden St Apt 1s, Chicago, IL 60640-5687 | 2019-06-13 |
| 1962065516 | Jorge Mantilla | Physician Assistant | 5540 N Kimball Ave Apt 3e, Chicago, IL 60625-4674 | 2019-04-18 |
| 1013479955 | Leah Rae Prager | Physician Assistant | 4400 W. 95th St., Attn: Pediatric General Surgery, Oak Lawn, IL 60453 | 2019-04-01 |
| 1770041949 | Laura Ann Ryan | Physician Assistant | 840 S Wood St Ste 417, Chicago, IL 60612-4325 | 2019-03-06 |
| 1548739782 | Helen Finke | Physician Assistant | 880 W Central Rd Ste 3300, Arlington Heights, IL 60005-2366 | 2018-11-16 |
| 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.