DR. KYLE SHAUNE NELSON


Address: 11850 Blackfoot St Nw, Suite 490, Coon Rapids, MN 55433-2578
Phone: 7634271137

DR. KYLE SHAUNE NELSON (NPI# 1194987289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1194987289
Entity Type Individual
Full Name DR. KYLE SHAUNE NELSON
Credential MD
Practice Address 11850 Blackfoot St Nw
Suite 490
Coon Rapids
MN 55433-2578
Practice Telephone 7634271137
Mailing Telephone 7634271137
Enumeration Date 2008-06-30
Last Update Date 2018-03-09
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207T00000X Neurological Surgery 57276 MN Allopathic & Osteopathic Physicians
N 207T00000X Neurological Surgery 5933 NE Allopathic & Osteopathic Physicians

Other Providers KYLE NELSON

NPI Name Taxonomy Address Enumeration
1316998180 Kyle K Nelson Family Medicine 1520 Whitehall Rd, Anderson, SC 29625-1916 2006-05-15
1306307335 Kyle Fitzgerald Nelson Student in an Organized Health Care Education/Training Program 1 Gustave L Levy Pl, New York, NY 10029-6504 2019-03-31
1942773452 Kyle Nelson Physical Therapist 50 E Foothill Blvd Ste 100, Arcadia, CA 91006-2314 2019-01-07
1043783871 Kyle R Nelson Physical Therapy Assistant 1621 Coit Rd, Plano, TX 75075-6141 2019-01-03
1417473539 Kyle Nelson Physical Therapist 350 Posada Ln Ste 103, Templeton, CA 93465-4061 2017-08-21
1386190064 Kyle Nelson Occupational Therapist 2101 Wooddale Dr, Suite A, Woodbury, MN 55125-4441 2016-08-31
1508220039 Kyle Nelson Registered Nurse 900 Peeler St, Kalamazoo, MI 49008-2300 2016-04-11
1912385865 Kyle Nelson Respiratory Therapist, Registered 400 Fort Hill Ave, Canandaigua, NY 14424-1159 2015-05-12
1821356841 Kyle Nelson Dentist 1 Wahoo Ave, Groton, CT 06349-2324 2012-04-27
1891012449 Kyle Nelson Family Medicine 2801 W Kinnickinnic River Pkwy, Milwaukee, WI 53215-3669 2010-04-22

Office Location

Street Address 11850 BLACKFOOT ST NW
SUITE 490
City COON RAPIDS
State MN
Zip Code 55433-2578

Providers in the same location

NPI Name Taxonomy Address Enumeration
1255392353 Robin R Uithoven Nurse Practitioner 11850 Blackfoot St Nw, Suite 100, Coon Rapids, MN 55433-2578 2006-03-29
1346768884 Drew Alexander Holm Physician Assistant 11850 Blackfoot St Nw, Coon Rapids, MN 55433-2578 2017-09-05
1912458571 Denise Rae Jones Genetic Counselor, MS 11850 Blackfoot St Nw, Suite 130, Coon Rapids, MN 55433-2578 2016-10-19
1356895759 Hannah Wheaton Physician Assistant 11850 Blackfoot St Nw, Ste. 300, Coon Rapids, MN 55433-2578 2016-08-15
1457805020 Amanda Michelle Peterson Physician Assistant 11850 Blackfoot St Nw, Ste 300, Coon Rapids, MN 55433-2578 2016-08-11
1861945693 Maureen Carberry Physician Assistant 11850 Blackfoot St Nw, #300, Coon Rapids, MN 55433-2578 2016-07-28
1104163369 Krista Marie Skoglund Physician Assistant 11850 Blackfoot St Nw, Suite 490, Coon Rapids, MN 55433-2578 2013-01-08
1255641791 Derek Paul Doty Chiropractor 11850 Blackfoot St Nw, Ste. 405, Coon Rapids, MN 55433-2578 2010-10-18
1376856500 Niloo Shanya Krueger Surgery 11850 Blackfoot St Nw, Coon Rapids, MN 55433-2578 2010-07-16
1699001180 Rachel Lynn Stevens Physician Assistant 11850 Blackfoot St Nw, Suite 490, Coon Rapids, MN 55433-2578 2009-10-19
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1770134793 Shelley Karee Peterson Technician 10311 Bittersweet St Nw, Coon Rapids, MN 55433 2019-09-20
1578122057 Courtney Gau Behavior Technician Fraser Coon Rapids, 9120 Springbrook Dr. Nw, Coon Rapids, MN 55433 2019-06-10
1992275606 Maliki Fofee Kamara Licensed Practical Nurse 2451 109th Ave Nw Apt. 1, Coon Rapids, MN 55433 2018-11-26
1992284541 Sarah Vennes Massage Therapist 6400 Flying Cloud Dr, Suite 240, Eden Prairie, MN 55433 2018-08-13
1538646609 Paige Prince Behavior Technician Fraser Coon Rapids, 9120 Springbrook Drive Nw, Coon Rapids, MN 55433 2018-07-23
1154828242 Karin Lea Englund Dentist 9145 Springbrook Dr Nw Ste 100, Coon Rapids, MN 55433 2018-04-06
1235642513 Vista Family Eye Care LLC Optometrist 9920 Foley Blvd Nw Ste 120, Coon Rapids, MN 55433 2017-11-09
1538697818 Mohammed Nmn Ahmed Internal Medicine 9055 Spring Brook Drive, Allina Coon Rapids Clinic 9055, Coon Rapids, MN 55433 2017-05-31
1639531353 Journi LLC Nurse Practitioner 277 Coon Rapids Blvd Suite 308, Coon Rapids, MN 55433 2016-03-22
1821457722 Honorine Boyce Licensed Practical Nurse 2743 111th Ave. Nw, Coon Rapids, MN 55433 2016-02-19
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Taxonomy Information

Taxonomy Code 207T00000X
Grouping Allopathic & Osteopathic Physicians
Classification Neurological Surgery

Taxonomy Definition

A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1154685097 Joseph Robert Kapurch II Neurological Surgery 11850 Blackfoot St Nw Ste 490, Coon Rapids, MN 55433-2773 2012-06-26
1477812394 Timothy James Kovanda Neurological Surgery 11850 Blackfoot St Nw Ste 490, Coon Rapids, MN 55433-2773 2012-05-12
1922241884 Minnesota Neurosurgical Trauma Associates, Pllc Neurological Surgery 11850 Blackfoot St Nw, Suite 490, Coon Rapids, MN 55433-2578 2009-04-08
1871648717 Kyle Michael Uittenbogaard Neurological Surgery 11850 Blackfoot St Nw, Suite 490, Coon Rapids, MN 55433-2578 2007-01-23
1497808422 Hart Phillip Garner Neurological Surgery 11850 Blackfoot St Nw, Suite 490, Coon Rapids, MN 55433-2578 2007-01-21
1114966637 Robert Roach Neurological Surgery 11850 Blackfoot St Nw, Suite 490, Coon Rapids, MN 55433-2578 2006-06-06

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1770999716 Gigante Acquisitions LLC Neurological Surgery 2215 Pillsbury Ave S, Minneapolis, MN 55404-3213 2014-07-10
1962723403 Richard C. Siebert Neurological Surgery 1901 Red Oak Dr Sw, Brainerd, MN 56401-2050 2010-06-18
1912136284 Ann M Parr Neurological Surgery 516 Delaware St Se, Clinic 1a, Umphysicians Neurosurgery Clinic, Minneapolis, MN 55455 2009-07-08
1932303526 Hamid Reza Abbasi Neurological Surgery 6600 State Highway 29 S, Alexandria, MN 56308-6196 2007-06-14
1629289939 Andrew Grande Neurological Surgery 420 Delaware St. Se, Mmc 96, D429 Mayo Memorial Building, Minneapolis, MN 55455 2007-05-25
1255452926 Meysam A Kebriaei Neurological Surgery 347 Smith Ave N Ste 301, Saint Paul, MN 55102-3355 2007-04-02
1013084615 Lynn M Miller Neurological Surgery 6 Red Forest Ln, North Oaks, MN 55127-6352 2006-11-29
1871695098 Cornelius Hoktsim Lam Neurological Surgery 420 Delaware St Se # Mmc96, Minneapolis, MN 55455-0341 2006-09-01
1124044334 Zhiyi Sha Neurological Surgery 420 Delaware Street S.e., Mmc 295, Minneapolis, MN 55455 2006-07-14
1619914207 Allina Health System Neurological Surgery 310 Smith Ave N Ste 400, St Paul, MN 55102-2378 2006-06-01
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Competitor

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City COON RAPIDS
Zip Code 55433

Improve Information

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Dataset Information

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.

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