DAVID WESLEY NELSON (NPI# 1235618497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235618497 |
| Entity Type | Individual |
| Full Name | DAVID WESLEY NELSON |
| Credential | PA-C |
| Practice Address |
345 Blackstone Blvd Ste 2 Providence RI 02906-4829 |
| Practice Telephone | 4014556200 |
| Mailing Telephone | 4017377010 |
| Enumeration Date | 2018-08-08 |
| Last Update Date | 2018-08-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA01074 | RI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710407457 | David Vernon Nelson | Physical Therapist | 1739 Elm Ct Ste 205206, Jefferson City, MO 65101-4303 | 2017-06-23 |
| 1932631934 | David Christopher Nelson | Student in an Organized Health Care Education/Training Program | 8515 Gillette St, Lenexa, KS 66215-2829 | 2017-03-29 |
| 1730558263 | David Ross Nelson | Dentist | 6611 Sitio Del Rio Blvd, Austin, TX 78730-1171 | 2015-09-15 |
| 1689064131 | David Allen Nelson | Counselor | 113 Setzer Dr, Barboursville, WV 25504-1123 | 2015-02-04 |
| 1518398296 | David Nelson | Psychologist | 10950 Church St Apt 312, Rancho Cucamonga, CA 91730-8063 | 2013-12-06 |
| 1962770651 | David W Nelson | Physical Therapist | 1700 Furnas St, Ashland, NE 68003-1254 | 2011-12-08 |
| 1932403169 | David Scott Nelson | Counselor | 121 S Prairie St, Prairie Du Chien, WI 53821-1418 | 2011-01-03 |
| 1275837858 | David V Nelson | Psychologist | 919 Bearkat Blvd, Psychological Services Center, Huntsville, TX 77340 | 2010-12-22 |
| 1073833844 | David Lyman Nelson | Dentist | 10717 Camino Ruiz Ste 103, San Diego, CA 92126-2310 | 2010-06-03 |
| 1033354303 | David Leroy Nelson | Family Medicine | 1825 Country Club Rd, Stoughton, WI 53589-3219 | 2008-12-15 |
| Street Address |
345 BLACKSTONE BLVD STE 2 |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02906-4829 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982127510 | Melanie A. Faust | Registered Nurse | 345 Blackstone Blvd Ste 2, Providence, RI 02906-4829 | 2017-07-25 |
| 1265056451 | Nicholas J Petrosino | Psychiatry & Neurology | 345 Blackstone Blvd Ste 2, Providence, RI 02906-4829 | 2020-06-03 |
| 1912521162 | Matthew David Howe | Psychiatry & Neurology | 345 Blackstone Blvd Ste 2, Providence, RI 02906-4829 | 2020-06-03 |
| 1770130692 | Louisa Isoud Thompson | Clinical Neuropsychologist | 345 Blackstone Blvd Ste 2, Providence, RI 02906-4829 | 2019-08-26 |
| 1578122412 | Rachel Ruderman-looff | Psychiatry & Neurology | 345 Blackstone Blvd Ste 2, Providence, RI 02906-4829 | 2019-06-12 |
| 1942795273 | Jesse Eli Moskowitz | Psychiatry & Neurology | 345 Blackstone Blvd Ste 2, Providence, RI 02906-4829 | 2018-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285245175 | Birdsong Traditional Medicine, LLC | Acupuncturist | 148 Waterman St. Ground Level, Providence, RI 02906 | 2020-08-13 |
| 1881218071 | Madison Pomerantz | Psychiatry & Neurology | 345 Blackstone Boulevard, Box G-bh, Providence, RI 02906 | 2020-06-03 |
| 1316453855 | Ellen Van Ingen Darling | Psychologist | 285 Governor St Ste 250, Providence, RI 02906 | 2017-12-20 |
| 1275063919 | Marissa Martz | Psychiatry & Neurology | 345 Blackstone Blvd., Providence, RI 02906 | 2017-06-15 |
| 1235663220 | Alena Haltzman | Counselor | 223 Summit Ave, Providence, RI 02906 | 2017-04-17 |
| 1669823399 | Kathryn Fleming-ives LLC | Psychiatry & Neurology | 355 Hope St Unit 1, Providence, RI 02906 | 2016-06-23 |
| 1134573389 | Sarah E. Kramer | Psychiatry & Neurology | Butler Hospital, Adult Psychiatry Residency, 345 Blackstone Blvd, Providence, RI 02906 | 2016-04-13 |
| 1538534201 | Laura Anne Buss | Social Worker | 55 Hope St., Providence, RI 02906 | 2015-12-07 |
| 1700289360 | Tinatin Surguladze | Counselor | 205 Waterman St Suite 106, Providence, RI 02906 | 2014-09-26 |
| 1467851519 | Jamila Allouane | Social Worker | 120 Wayland Avenue Suite 2, Providence, RI 02906 | 2014-08-14 |
| Find all providers in zip 02906 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922622265 | Jacob H. Sosa | Physician Assistant | 11 Amy St, Providence, RI 02906-3802 | 2020-06-02 |
| 1114541661 | Alison Ruth Dias | Physician Assistant | 164 Summit Ave Fl 3, Providence, RI 02906-2853 | 2020-06-01 |
| 1780210021 | Michael Weller | Physician Assistant | 166 Valley St Apt 6a202, Providence, RI 02909-2467 | 2020-03-18 |
| 1659915221 | Sanju Dhital | Physician Assistant | 15 Tew Pl, Providence, RI 02906-1721 | 2019-11-06 |
| 1467093823 | Alan Miller | Physician Assistant | 79 11th St, Providence, RI 02906-2911 | 2019-10-07 |
| 1134774011 | Linda Ung | Physician Assistant | 198 Wendell St, Providence, RI 02909-2129 | 2019-08-07 |
| 1346703527 | Simran Kaur Kochar | Physician Assistant | 207 Jastram St, Providence, RI 02908-2708 | 2019-04-13 |
| 1457881666 | Katelyn Mary Pires | Physician Assistant | 539 Eddy St., Providence, RI 02903 | 2017-06-20 |
| 1265556872 | Tor Clark | Physician Assistant | Brown University Health Service, Box 1928, Providence, RI 02912 | 2007-03-19 |
| 1275509408 | Sharonda Evette Keith | Physician Assistant | 593 Eddy Street, Apc-6, Lifespan Physician's Group, Dept of Neurosurgery, Providence, RI 02903 | 2006-02-27 |
| Find all providers in PROVIDENCE | ||||
| City | PROVIDENCE |
| Zip Code | 02906 |
Please comment or provide details below to improve the information on DAVID WESLEY 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.