JAN NELSON (NPI# 1134662893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134662893 |
| Entity Type | Individual |
| Full Name | JAN NELSON |
| Credential | PMHNP-BC |
| Practice Address |
185 Devonshire St Ste 901 Boston MA 02110-1485 |
| Mailing Address |
147 Jersey St Marblehead MA 01945-1346 |
| Practice Telephone | 6172591895 |
| Mailing Telephone | 7819104598 |
| Enumeration Date | 2016-11-29 |
| Last Update Date | 2020-09-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN2284986 | MA | Nursing Service Providers |
| N | 163W00000X | Registered Nurse | 074799-21 | NH | Nursing Service Providers |
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
11002628 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
RN2284986 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
074799-23 | NH | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 80 Nashua Rd Ste B2, Londonderry, NH 030533419 | 6038188926 | |
| 5664 Sw 60th Ave, Ocala, FL 344745677 | 3522915555 | |
| 1115 W Chestnut St, Brockton, MA 023017501 | 5085212200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124233267 | Jan Alvin Nelson | Pharmacist | 115 West Jessie Street, Rushford, MN 55971 | 2007-05-11 |
| 1912326760 | Jan Nelson | Counselor | 445 31st St N, St Petersburg, FL 33713-7605 | 2014-04-09 |
| 1609169077 | Jan Maureen Lawyer Nelson | Pharmacist | 601 E Rollins St, Orlando, FL 32803-1248 | 2011-05-18 |
| 1598096638 | Jan Lee Nelson | Social Worker | 462 1st Ave, 20n-1, New York, NY 10016-9196 | 2010-01-28 |
| 1417030313 | Jan M Nelson | Physical Therapist | 1450 W Prince Rd, Pupil Services, Tucson, AZ 85705-3014 | 2006-10-23 |
| Street Address |
185 DEVONSHIRE ST STE 901 |
| City | BOSTON |
| State | MA |
| Zip Code | 02110-1485 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437576311 | Rachel K. Berlin | Psychiatry & Neurology | 185 Devonshire St Ste 901, Boston, MA 02110-1485 | 2014-03-28 |
| 1760033765 | Ashley Beach Landers | Social Worker | 185 Devonshire St Ste 901, Boston, MA 02110-1485 | 2019-09-23 |
| 1174011837 | Kajal Bhatt | Psychologist | 185 Devonshire St Ste 901, Boston, MA 02110-1485 | 2018-04-27 |
| 1053827428 | Matthew Shang | Psychologist | 185 Devonshire St Ste 901, Boston, MA 02110-1485 | 2017-12-21 |
| 1801316948 | Haley Paige Poirier | Psychologist | 185 Devonshire St Ste 901, Boston, MA 02110-1485 | 2017-06-20 |
| 1336697994 | Tracey Gagnon | Psychologist | 185 Devonshire St Ste 901, Boston, MA 02110-1485 | 2016-09-13 |
| 1740655380 | Lucienne Cohen | Counselor | 185 Devonshire St Ste 901, Boston, MA 02110-1485 | 2015-12-08 |
| 1518335207 | Leah Kamin | Psychologist | 185 Devonshire St Ste 901, Boston, MA 02110-1485 | 2015-09-11 |
| 1427426766 | Juliana Rezende | Psychologist | 185 Devonshire St Ste 901, Boston, MA 02110-1485 | 2015-09-03 |
| 1447627195 | Brian Siembor | Psychologist | 185 Devonshire St Ste 901, Boston, MA 02110-1485 | 2015-08-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326657487 | Laqueen Arleen Battle | Counselor | 101 Arch Street, 8th Floor, Ste 869, Boston, MA 02110 | 2020-07-24 |
| 1164051033 | Arthur Paul Brodie | Massage Therapist | Boston Athletic Club, 653 Summer St., Boston, MA 02110 | 2020-04-03 |
| 1588146286 | Erin Collette Kenney | Dietitian, Registered | 5 Fan Peir Boulevard, Boston, MA 02110 | 2018-08-30 |
| 1316430705 | Jennifer B Ash | Psychologist | 101 Federal St Ste 1900, Boston, MA 02110 | 2018-06-11 |
| 1063930501 | Rachel Duda | Psychologist | 185 Devonshire Street Suite 901, Boston, MA 02110 | 2017-09-05 |
| 1770892101 | Chiajou Lu | Marriage & Family Therapist | 185 Devonshire St Ste 500, Boston, MA 02110 | 2010-10-04 |
| 1518298975 | Thom Delahunt | Marriage & Family Therapist | 185 Devonshire St Ste 503, Boston, MA 02110 | 2010-01-26 |
| 1710133582 | Pamela Marie Maragliano | Dentist | Lewis Wharf Bay 237, Boston, MA 02110 | 2008-08-13 |
| 1962672774 | Laura Marie Daniels | Acupuncturist | 185 Devonshire St., Suite 201, Boston, MA 02110 | 2008-03-07 |
| 1609060896 | Robert J. Chapman | Dentist | 28 Atlantic Ave. Lewis Wharf, Boston, MA 02110 | 2007-08-30 |
| Find all providers in zip 02110 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376153494 | Melissa Broughton | Nurse Practitioner | 110 Salem St Apt 4, Boston, MA 02113-1763 | 2020-08-04 |
| 1780239483 | Dallas Michelle Ducar | Nurse Practitioner | 55 Fruit St Fl Hall4, Boston, MA 02114-2696 | 2019-08-08 |
| 1295258259 | Joseph F Toomey IIi | Nurse Practitioner | 48 Melrose St., Boston, MA 02116-2409 | 2017-07-21 |
| 1871950733 | Rebecca Donadio | Nurse Practitioner | 84 State Stareet, Suite 660, Boston, MA 02109-2200 | 2016-01-24 |
| 1811320559 | Alexandra Paige Libon Strack | Nurse Practitioner | 10 Newbury St Fl 4, Boston, MA 02116-3290 | 2013-08-16 |
| 1174806046 | Donald L Payette Jr. | Nurse Practitioner | 40 River St Unit 208, Boston, MA 02126-2983 | 2011-09-27 |
| 1134759665 | Sokhira Christina Yang | Nurse Practitioner | Boston Medical Center, 88 E Newton Street, Boston, MA 02118 | 2020-01-23 |
| 1730661042 | Brittany Catherine Hughes | Nurse Practitioner | 800 Washington St, Boston, MA 02111-1552 | 2018-09-04 |
| 1528549425 | Adekemi Victoria Adeleye | Nurse Practitioner | 1 Boston Medical Center Place, Boston, MA 02118 | 2018-08-28 |
| 1174022693 | Ally Integrated Healthcare LLC | Nurse Practitioner | 30 Newbury St Ste 3, Boston, MA 02116-3239 | 2018-02-10 |
| Find all providers in BOSTON | ||||
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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.