CRAIG NELSON (NPI# 1164031423) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164031423 |
| Entity Type | Individual |
| Full Name | CRAIG NELSON |
| Practice Address |
104 Sw Kinkade Ave Boardman OR 97818 |
| Mailing Address |
Po Box 261 Boardman OR 97818-0261 |
| Practice Telephone | 5414812911 |
| Mailing Telephone | 5414812911 |
| Enumeration Date | 2020-07-23 |
| Last Update Date | 2020-07-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225502719 | Craig H Nelson | Registered Nurse | 16125 Woodlawn Acres Ave, Baton Rouge, LA 70817-5653 | 2019-01-17 |
| 1578707493 | Craig L. Nelson | Optometrist | 9 N. Beech St., Cortez, CO 81321-3205 | 2009-04-22 |
| 1861670325 | Craig Nelson | Emergency Medicine | 6665 W Timber Ln, Ludington, MI 49431-1063 | 2008-02-07 |
| 1396950176 | Craig Lee Nelson | Dentist | 405 Union St, Lagrange, IN 46761-2234 | 2007-05-14 |
| 1477682904 | Craig Edward Nelson | Occupational Therapist | 7th and Albemarle St, Petersburg, VA 23803-0030 | 2007-03-02 |
| 1306861653 | Craig Livezey Nelson | Dentist | Va Health Care System, 10,000 Bay Pines Boulvard, Saint Petersburg, FL 33708 | 2006-07-13 |
| 1053301481 | Craig Nelson | Chiropractor | 1539 Crescent Rd, Clifton Park, NY 12065-7701 | 2005-10-26 |
| 1174131627 | Craig Nelson | Pathology | 4312 District Dr, Raleigh, NC 27607-5490 | 2020-07-21 |
| 1366634602 | Craig Bradley Nelson | Chiropractor | 12309 Gold St, Omaha, NE 68144-2760 | 2007-08-10 |
| 1184712416 | Craig Nelson | Emergency Medicine | 1 Clara Maass Dr, Clara Maass Medical Center, Belleville, NJ 07109-3550 | 2006-10-11 |
| Street Address |
104 SW KINKADE AVE |
| City | BOARDMAN |
| State | OR |
| Zip Code | 97818 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306407135 | Olivia Jean Steffey | Counselor | 104 Sw Kinkade Ave, Boardman, OR 97836 | 2019-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477178721 | Kaelyn Rose Lindsay | Counselor | 104 Sw Kinkade Ave., Boardman, OR 97818 | 2020-06-12 |
| 1225674807 | Jose James Ortiz Jr. | Counselor | 104 Kinkade Ave, Boardman, OR 97818 | 2019-11-19 |
| 1982149647 | Kymberli Dawn Erevia | Specialist | 104 S. W. Kinkade Road, Boardman, OR 97818 | 2017-01-04 |
| 1194277814 | Scott R Ruch | Community/Behavioral Health | 104 Sw. Kinkade Rd, Boardman, OR 97818 | 2016-10-28 |
| 1144660168 | Cydney M. Morgan | Counselor | 103 Sw Kinkade Rd., Boardman, OR 97818 | 2013-07-05 |
| 1801151121 | Mayra Colin Carrillo | Counselor | 104 S.w. Kinkade Rd., Boardman, OR 97818 | 2012-07-12 |
| 1306103429 | Good Shepherd Medical Service Corp | Pharmacy | 220 S. Main, Boardman, OR 97818 | 2012-04-13 |
| 1437359387 | Emily Dawn Reynolds | Counselor | 104 Sw Kinkade Road, Boardman, OR 97818 | 2007-07-19 |
| 1548485865 | Hayden Family Dentistry Group | Dentist | 300 Tatone, Boardman, OR 97818 | 2007-04-13 |
| 1336294057 | Brandi Nichole Pollick | Counselor | 101 Nw Boardman Ave, Boardman, OR 97818 | 2007-01-24 |
| Find all providers in zip 97818 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285248740 | Kimberly Vrabel | Counselor | 725 Boardman Canfield Road Road Unit 1 and Unit 2, Boardman, OH 44512 | 2020-09-02 |
| 1477178721 | Kaelyn Rose Lindsay | Counselor | 104 Sw Kinkade Ave., Boardman, OR 97818 | 2020-06-12 |
| 1245870492 | Sara M. Channell | Counselor | 955 Windham Ct Ste 2, Boardman, OH 44512-5035 | 2020-01-15 |
| 1225674807 | Jose James Ortiz Jr. | Counselor | 104 Kinkade Ave, Boardman, OR 97818 | 2019-11-19 |
| 1447808845 | Kelsey Anne Phillips | Counselor | 955 Windham Court, Suite 2, Boardman, OH 44512-5035 | 2019-08-28 |
| 1306407135 | Olivia Jean Steffey | Counselor | 104 Sw Kinkade Ave, Boardman, OR 97836 | 2019-06-24 |
| 1437617016 | Mind & Body Counseling Solutions | Counselor | 34 Fairlawn Ave, Boardman, OH 44512-1561 | 2019-03-03 |
| 1083179527 | Zaira Sanchez | Counselor | 104 Sw Kinkade Avenue, Boardman, OR 97836 | 2019-02-08 |
| 1336512367 | Megan Elizabeth Mcconnell | Counselor | 833 Boardman Canfield Rd Ste 105, Boardman, OH 44512-4236 | 2015-11-13 |
| 1144660168 | Cydney M. Morgan | Counselor | 103 Sw Kinkade Rd., Boardman, OR 97818 | 2013-07-05 |
| Find all providers in BOARDMAN | ||||
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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.