ROBERT DOUGLAS NELSON (NPI# 1144875600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144875600 |
| Entity Type | Individual |
| Full Name | ROBERT DOUGLAS NELSON |
| Credential | LADC |
| Practice Address |
14040 480th St Tamarack MN 55787-4429 |
| Practice Telephone | 2184264518 |
| Mailing Telephone | 2184264518 |
| Enumeration Date | 2019-08-01 |
| Last Update Date | 2019-08-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 302246 | MN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003056870 | Robert Nelson | Audiologist | 38620 Desert Mirage Dr, Palm Desert, CA 92260-0606 | 2009-03-05 |
| 1689844649 | Robert M. Nelson | Counselor | 1011 Page, Troy, NC 27371 | 2008-03-06 |
| 1891963922 | Robert Mark Nelson Sr. | Pharmacist | 8011 Ventura St Ne, Albuquerque, NM 87109-6429 | 2008-02-12 |
| 1851571194 | Robert R. Nelson | Pharmacist | 4500 Sunrise Hwy, Oakdale, NY 11769-1012 | 2007-11-03 |
| 1235332271 | Robert Howard Nelson | Family Medicine | 1309 Philomene Court, Carmichael, CA 95608 | 2007-06-07 |
| 1548386089 | Robert Elmer Nelson | Dentist | 170 Saint Andrews Rd, Saginaw, MI 48638-5938 | 2007-03-22 |
| 1104962638 | Robert Arnold Nelson | Ophthalmology | 30150 So Hwy One, Gualala, CA 95445 | 2007-01-30 |
| 1881759546 | Robert Marion Nelson | Pharmacist | 112 S 2nd Ave, Mc Rae, GA 31055-1539 | 2006-12-23 |
| 1316019763 | Robert A Nelson | Dentist | 1425 Offner Street, Portsmouth, OH 45662 | 2006-11-14 |
| 1477637890 | Robert Bruce Nelson | Physician Assistant | 1500 Jericho Tpke, Westbury, NY 11590-1045 | 2006-10-24 |
| Street Address |
14040 480TH ST |
| City | TAMARACK |
| State | MN |
| Zip Code | 55787-4429 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427577063 | Sarah Ann Miller | Specialist/Technologist | 155 Inwood Drive, Woodbury, MN 55787 | 2017-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255621835 | Tamarack Eagle Medical | Dentist | 311 Village Dr, Tamarack, ID 83615-5014 | 2011-04-15 |
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588278444 | Sam Chafos Trewick | Counselor | 3237 Fremont Ave S, Minneapolis, MN 55408-3531 | 2020-09-08 |
| 1962026781 | Dylan Thaemert | Counselor | 2012 Bryant Ave S Ste 1, Minneapolis, MN 55405-2819 | 2020-06-08 |
| 1134742307 | Lyon Counseling LLC | Counselor | 4707 Highway 61 N # 1029, White Bear Lake, MN 55110-3227 | 2020-05-22 |
| 1457986556 | Jon Brookson Engfer | Counselor | 8609 Lyndale Avenue South, Bloomington, MN 55420 | 2020-03-09 |
| 1831735141 | Jon Walter Petersen | Counselor | 4136 Queen Ave S Apt 100, Minneapolis, MN 55410-1254 | 2019-11-21 |
| 1679118921 | Meredith Larson | Counselor | 5301 Kyler Ave Ne Ste 101, Albertville, MN 55301-4718 | 2019-11-11 |
| 1689217226 | Diane Sparish | Counselor | 7835 Main St N Ste 220, Maple Grove, MN 55369-7072 | 2019-10-28 |
| 1346883501 | Christine Lee Garwick-foley | Counselor | 10032 Quebec Ave S, Bloomington, MN 55438-2126 | 2019-10-21 |
| 1225687999 | Rebecca A Kreger | Counselor | 902 E 2nd St Ste 260, Winona, MN 55987-2640 | 2019-09-05 |
| 1790332195 | Esther Swen | Counselor | 2827 Newton Ave N, Minneapolis, MN 55411-1142 | 2019-08-20 |
| 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.