DR. CRAIG LIVEZEY NELSON (NPI# 1306861653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306861653 |
| Entity Type | Individual |
| Full Name | DR. CRAIG LIVEZEY NELSON |
| Credential | DMD |
| Practice Address |
Va Health Care System 10,000 Bay Pines Boulvard Saint Petersburg FL 33708 |
| Mailing Address |
1257 Waterfront Drive Mount Pleasant SC 29464-9494 |
| Practice Telephone | 7273989396 |
| Practice Fax Number | 7273191146 |
| Mailing Telephone | 8438497046 |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 1223P0700X |
Dentist Specialization: Prosthodontics |
475 | SC | Dental Providers |
| X | 1223P0700X |
Dentist Specialization: Prosthodontics |
3340 | SC | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | DENTAL LICENSE | 3340 | 01 |
| 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 |
| 1053301481 | Craig Nelson | Chiropractor | 1539 Crescent Rd, Clifton Park, NY 12065-7701 | 2005-10-26 |
| 1164031423 | Craig Nelson | Counselor | 104 Sw Kinkade Ave, Boardman, OR 97818 | 2020-07-23 |
| 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 |
VA HEALTH CARE SYSTEM 10,000 BAY PINES BOULVARD |
| City | SAINT PETERSBURG |
| State | FL |
| Zip Code | 33708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023580545 | Caryn Lee Jackson-costello | Technician | 229h Medallion Boulevard, Madeira Beach, FL 33708 | 2018-12-21 |
| 1033566112 | Lori Ganim | Radiologic Technologist | 10000 Bay Pines Blvd North, St Petersburg, FL 33708 | 2016-05-19 |
| 1073929634 | Blake Burnett | Student in an Organized Health Care Education/Training Program | 9200 113th Street, Saint Petersburg, FL 33708 | 2014-07-03 |
| 1568876084 | Lori R Hassinger Pa | Optometrist | 10127 Bay Pines Blvd, Saint Petersburg, FL 33708 | 2014-06-12 |
| 1043596927 | Elizabeth Wedman-st. Louis | Dietitian, Registered | 17920 Gulf Blvd, Ste 606, Redington Shores, FL 33708 | 2011-10-24 |
| 1033492301 | Irina S Solonenko | Pharmacist | 674 E Welch Causeway, Madeira Beach, FL 33708 | 2011-09-23 |
| 1962630277 | Rebekah Anne Smith | Optometrist | 15037 Madeira Way, Madeira Beach, FL 33708 | 2009-06-25 |
| 1952535973 | Ronald A Luscomb | Nurse Practitioner | 16110 Redington Drive, Redington Beach, FL 33708 | 2009-05-05 |
| 1679753933 | We Care Home Health Inc | Home Health | 10911 53rd Av No, St Petersburg, FL 33708 | 2007-11-05 |
| 1740408798 | The Hoffman Clinic, P.a. | Acupuncturist | 13495 Gulf Boulevard, Madeira Beach, FL 33708 | 2007-04-23 |
| Find all providers in zip 33708 | ||||
| Taxonomy Code | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982851440 | Gerard E. Krueger | Dentist | 7801 38th Ave N, Saint Petersburg, FL 33710-1107 | 2008-08-26 |
| 1952426439 | Kimberley Danley Daxon | Dentist | 111 2nd Ave Ne, Suite #1104, Saint Petersburg, FL 33701-3434 | 2007-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326650540 | Zineb Mediouni Dmd Pa | Dentist | 14502 N Dale Mabry Hwy Ste 102, Tampa, FL 33618-2076 | 2020-08-19 |
| 1932728078 | Mohammad Reza Azari Samani | Dentist | 14453 Beach Blvd Ste 100, Jacksonville, FL 32250-2081 | 2020-04-09 |
| 1013562941 | Blanding Dental Associates P.a. | Dentist | 767 Blanding Blvd Ste 108, Orange Park, FL 32065-5788 | 2019-08-07 |
| 1669030037 | Makris Dental LLC | Dentist | 13250 Narcoossee Road, Orlando, FL 32827 | 2019-05-31 |
| 1700365145 | Carlos Soucy Aranguren | Dentist | 1395 Center Dr Rm D9-39d, Gainesville, FL 32610-3006 | 2018-08-07 |
| 1790278448 | Marcela Cardona Echeverri | Dentist | 3872 San Simeon Cir, Weston, FL 33331-5056 | 2018-06-07 |
| 1942704499 | Ngoc Trang Caroline Truong | Dentist | 1395 Center Driveroom D1-19, Gainesville, FL 32610-0001 | 2018-03-20 |
| 1851812515 | Martin Sebastian Lalama | Dentist | 2441 Nw 43rd St Ste 16, Gainesville, FL 32606-6676 | 2017-07-03 |
| 1619497021 | Leila Ahmadian Khoshe Mehr | Dentist | 929 Falling Water Rd, Weston, FL 33326-3555 | 2017-06-27 |
| 1548611510 | Rocio Barocio Torano | Dentist | 2425 Brunello Trce, Lutz, FL 33558-7800 | 2016-06-30 |
| Find all providers with the same taxonomy | ||||
| City | SAINT PETERSBURG |
| Zip Code | 33708 |
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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.