KRISTIN WUNKER NELSON (NPI# 1225341191) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225341191 |
| Entity Type | Individual |
| Full Name | KRISTIN WUNKER NELSON |
| Other Name | KRISTIN E. WUNKER |
| Credential | P.A. |
| Practice Address |
1890 Lpga Blvd Ste 250 Daytona Beach FL 32117-7131 |
| Mailing Address |
11945 San Jose Blvd Ste 300 Jacksonville FL 32223-1627 |
| Practice Telephone | 3862740250 |
| Practice Fax Number | 3862740269 |
| Mailing Telephone | 9043961725 |
| Mailing Fax Number | 9043964893 |
| Enumeration Date | 2010-07-21 |
| Last Update Date | 2020-03-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | PA9105267 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA9105267 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205211513 | Kristin Nelson | Specialist | 901 Babcock Blvd E, Delano, MN 55328-8600 | 2015-07-28 |
| 1689923005 | Kristin Noel Nelson | Speech-Language Pathologist | 48 Dally Ln, Buffalo, WY 82834-9491 | 2012-08-30 |
| 1174642987 | Kristin Nelson | Occupational Therapy Assistant | 427 N Phillips St, Seaford, DE 19973-2305 | 2007-03-29 |
| 1144389636 | Kristin Ann Nelson | Dentist | 50 W Nicollet Blvd, Burnsville, MN 55337-4524 | 2006-12-08 |
| 1265539365 | Kristin Ann Nelson | Counselor | 9110 Foxtail Dr, Lincoln, NE 68526-9521 | 2006-09-20 |
| 1447874060 | Kristin Nelson | Optometrist | 120 E Countryside Pkwy, Yorkville, IL 60560-1877 | 2020-05-29 |
| 1053973123 | Kristin Nelson | Student in an Organized Health Care Education/Training Program | 2851 University Ave, Green Bay, WI 54311-5855 | 2019-06-28 |
| 1043778731 | Kristin R Nelson | Pain Medicine | 1044 N Francisco Ave Ste 404, Chicago, IL 60622-2743 | 2019-03-12 |
| 1134604416 | Kristin Nelson | Behavior Technician | 3110 Camino Del Rio S Ste 307, San Diego, CA 92108-3832 | 2018-10-02 |
| 1871094128 | Kristin Nelson | Physical Therapist | 3860 Dobie Rd, Okemos, MI 48864-3704 | 2018-02-22 |
| Street Address |
1890 LPGA BLVD STE 250 |
| City | DAYTONA BEACH |
| State | FL |
| Zip Code | 32117-7131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679117477 | Amanda Paterson | Nurse Practitioner | 1890 Lpga Blvd Ste 250, Daytona Beach, FL 32117-7131 | 2019-11-05 |
| 1205390945 | Daniel S Burfield | Nurse Practitioner | 1890 Lpga Blvd Ste 250, Daytona Beach, FL 32117-7131 | 2019-01-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992350409 | Erin Selfridge | Pharmacist | 1500 Beville Rd #300, Daytona Beach, FL 32117 | 2019-08-02 |
| 1881185494 | Wellspring Health, LLC | Chiropractor | 701 Ridgewood Ave, Holly Hills, FL 32117 | 2018-05-21 |
| 1780172791 | L & L Db, LLC | Clinic/Center | 1540 Cornerstone Blvd, Suite 100, Daytona Beach, FL 32117 | 2018-04-25 |
| 1154837789 | Brittany Nikolow | Nurse Practitioner | 1717 N. Clyde Morris, Daytona Beach, FL 32117 | 2017-12-19 |
| 1205356946 | Alejandro Andre Pabon Rodriguez | Nurse Anesthetist, Certified Registered | Florida Hospital Memorial Medical Center, 301 Memorial Medical Parkway, Daytona Beach, FL 32117 | 2017-06-23 |
| 1316492135 | Ann Van Herck | Physical Therapist | 1901 Mason Ave Ste 105, Daytona Beach, FL 32117 | 2016-08-22 |
| 1952784779 | Kathryn Brenna Copley | Nurse Practitioner | 1890 Lpga Blvd., Daytona Beach, FL 32117 | 2015-06-30 |
| 1053719559 | Alicia Graham | Case Manager/Care Coordinator | 1570 Megan Bay Circle, Holly Hill, FL 32117 | 2014-12-15 |
| 1578974440 | Halifax Senior Care Inc | Clinic/Center | 1515 Ridgewood Ave, Suite B, Holly Hill, FL 32117 | 2014-05-14 |
| 1013345883 | Kist Alf, Inc | Assisted Living Facility | 1516 Carmen Avenue, Daytona Beach, FL 32117 | 2013-10-14 |
| Find all providers in zip 32117 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952932493 | Lisel Spieler | Physician Assistant | 1173 Fins Up Ct, Daytona Beach, FL 32124-3719 | 2020-02-03 |
| 1972888360 | Lauren Marie Rice | Physician Assistant | 305 Memorial Medical Pkwy, Suite 205, Daytona Beach, FL 32117 | 2011-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811598691 | Monica Nancy Ginocchio | Physician Assistant | 1020 Crosspointe Dr Ste 110, Naples, FL 34110-0918 | 2020-11-06 |
| 1427657055 | Alyson Ryall | Physician Assistant | 480 Ventura Pl, Vero Beach, FL 32963-4262 | 2020-10-24 |
| 1104436476 | Forrest Joseph Steslow | Physician Assistant | 1971 Brandywine Rd Apt 305, West Palm Beach, FL 33409-6800 | 2020-08-03 |
| 1063039576 | Joshua Bras Prewitt | Physician Assistant | 4800 Linton Blvd Ste 201, Delray Beach, FL 33445-6584 | 2020-06-30 |
| 1003443904 | Sheila Rhinehart | Physician Assistant | 981 Tarpon Ave, Sebastian, FL 32958-5147 | 2020-03-23 |
| 1326685991 | Nikolai X Lincavage | Physician Assistant | 29277 Us Highway 19 N # 29277, Clearwater, FL 33761-2102 | 2019-12-03 |
| 1356984686 | Zane K Jude | Physician Assistant | 1775 Linton Lake Dr, Delray Beach, FL 33445-6927 | 2019-10-18 |
| 1720635998 | Jose R Munoz | Physician Assistant | 4801 Esedra Ct Apt 203, Lake Worth, FL 33467-5019 | 2019-08-22 |
| 1811559578 | Sydney Gillen | Physician Assistant | 1222 S Orange Ave Fl 2, Orlando, FL 32806-1215 | 2019-07-02 |
| 1972168052 | Carlee Freed | Physician Assistant | 2191 9th Ave N Ste 270, St Petersburg, FL 33713-7149 | 2019-05-05 |
| Find all providers with the same taxonomy | ||||
| City | DAYTONA BEACH |
| Zip Code | 32117 |
Please comment or provide details below to improve the information on KRISTIN WUNKER NELSON.
| 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.