MATTHEW GENE NELSON (NPI# 1376986075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376986075 |
| Entity Type | Individual |
| Full Name | MATTHEW GENE NELSON |
| Credential | IDC |
| Practice Address |
212 Wintergreen Ln Hubert NC 28539-4659 |
| Practice Telephone | 9108846996 |
| Mailing Telephone | 9108846996 |
| Enumeration Date | 2013-04-11 |
| Last Update Date | 2013-04-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1710I1002X |
Military Health Care Provider Specialization: Independent Duty Corpsman |
Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801377767 | Matthew Ryan Nelson | Nurse Practitioner | 1974 N 540 E, Orem, UT 84097-2360 | 2018-08-28 |
| 1649783648 | Matthew Nelson | Occupational Therapy Assistant | 13915 North Mopac Expressway, Suite 200, Austin, TX 78728 | 2017-11-13 |
| 1861800898 | Matthew Nelson | Behavioral Analyst | 1972 Nortstar Way #163, San Marcos, CA 92078 | 2014-07-22 |
| 1396161154 | Matthew Nelson | Marriage & Family Therapist | 2100 County Road 42 W, Burnsville, MN 55337-6913 | 2014-03-17 |
| 1003245986 | Matthew Nelson | Specialist/Technologist | 1818 Belleville Rd Sw, Roanoke, VA 24015-2708 | 2013-11-01 |
| 1922310929 | Matthew Taylor Nelson | Anesthesiology | 6018 Wagon Mount Ct, Saint Louis, MO 63129-4043 | 2010-07-07 |
| 1518152875 | Matthew E Nelson | Dentist | 7101 E Thomas Rd, Scottsdale, AZ 85251-6336 | 2007-09-10 |
| 1518049295 | Matthew Nelson | Chiropractor | 3231 Rucker Ave, Everett, WA 98201-4224 | 2006-10-20 |
| 1164537155 | Matthew Michael Nelson | Dentist | 29992 Hunter Rd, Ste 110, Murrieta, CA 92563 | 2006-08-20 |
| 1477578441 | Matthew Steven Nelson | Physical Therapist | 1265 E Fort Union Blvd, Suite 110, Cottonwood Heights, UT 84047-1808 | 2006-07-12 |
| Street Address |
212 WINTERGREEN LN |
| City | HUBERT |
| State | NC |
| Zip Code | 28539-4659 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659913069 | Bethany Joy Cobbs | Counselor | 232 Smallwood Road, Hubert, NC 28539 | 2019-10-17 |
| 1861954349 | Kayla Nicole Flieger | Registered Nurse | 119 Sonia Drive, Hubert, NC 28539 | 2019-04-03 |
| 1396029641 | Ricardo Gutierrez | Military Health Care Provider | 400 Boysenberry Ln, Hubert, NC 28539 | 2011-10-05 |
| 1871819003 | Jennifer Ann Jones | Licensed Practical Nurse | 413 Peppermint Drive, Hubert, NC 28539 | 2010-04-13 |
| 1154512457 | Joseph Armand Clairmont Jr. | Military Health Care Provider | 229 Parnell Rd, Hubert, NC 28539 | 2007-08-05 |
| 1770705303 | Jane Gray Mccoy | Registered Nurse | 223 Charlie Taylor Road, Hubert, NC 28539 | 2007-05-03 |
| 1538384482 | Gloria Tolson Sanders | Physical Therapist | 146 Stewart Pt Rd, Hubert, NC 28539 | 2007-04-16 |
| 1366596652 | Carobell, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 561 Queen's Creek Road, Hubert, NC 28539 | 2007-01-23 |
| 1114951761 | Susan Meyer | Counselor | Cape Carteret Wellness Center, 300 Taylor Norton Rd, Cape Carteret, NC 28539 | 2006-07-10 |
| 1619155819 | Eastern Therapeutic Services, Inc. | Clinic/Center | 146 Stewart Point Rd, Hubert, NC 28539-3440 | 2008-02-11 |
| Find all providers in zip 28539 | ||||
| Taxonomy Code | 1710I1002X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Specialization | Independent Duty Corpsman |
| A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals. |
| Notes: Source: Bureau of Medicine and Surgery, Department of the Navy [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588274641 | Adam Randolph Smith | Military Health Care Provider | 205 Wintergreen Ln, Hubert, NC 28539-4659 | 2020-08-04 |
| 1396029641 | Ricardo Gutierrez | Military Health Care Provider | 400 Boysenberry Ln, Hubert, NC 28539 | 2011-10-05 |
| 1902092679 | Benjamin Paul Hebert | Military Health Care Provider | 311 Rack Ln, Hubert, NC 28539-4547 | 2007-09-17 |
| 1154512457 | Joseph Armand Clairmont Jr. | Military Health Care Provider | 229 Parnell Rd, Hubert, NC 28539 | 2007-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820002 | Levi Para | Military Health Care Provider | 2d Reconnaissance Bn, Psc 20138, Camp Lejeune, NC 28452-0138 | 2020-10-29 |
| 1427661743 | Russ C Garlinghouse | Military Health Care Provider | Rr 616, Stone Bay, NC 28460 | 2020-08-26 |
| 1164033197 | Brian David Bjerke | Military Health Care Provider | 612 Everrett Creek Road, Snead's Ferry, NC 28460 | 2020-08-13 |
| 1588273999 | Jacob Johnson | Military Health Care Provider | 413 Salvo Ct, Holly Ridge, NC 28445-8609 | 2020-07-31 |
| 1790309565 | Jason C Smith | Military Health Care Provider | 113 Barrington Ct, Maple Hill, NC 28454-8659 | 2020-06-08 |
| 1639793748 | Johnathon T Brewer | Military Health Care Provider | 100 White St, Jacksonville, NC 28540 | 2020-06-04 |
| 1003444928 | Andres Martin Rodoni | Military Health Care Provider | 2nd Reconnaissance Battalion, Camp Lejune, NC 28542 | 2020-03-27 |
| 1699306670 | Dominick Ciampo | Military Health Care Provider | A66 Boat Basin Road, Camp Lejeune, NC 28542 | 2020-01-29 |
| 1487294682 | Daniel Scott Porterfield | Military Health Care Provider | Building Rr612, Loop Rd, Sneads Ferry, NC 28460 | 2020-01-15 |
| 1316584543 | Christina Koch | Military Health Care Provider | 104 Eagle River Ct, Jacksonville, NC 28540-7745 | 2019-12-06 |
| Find all providers with the same taxonomy | ||||
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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.