MRS. CAROL JEAN NELSON (NPI# 1508959479) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508959479 |
| Entity Type | Individual |
| Full Name | MRS. CAROL JEAN NELSON |
| Credential | PA-C |
| Practice Address |
100 Municipal Dr Gun Barrel City TX 75156-3702 |
| Mailing Address |
344 Nw Cr 2171 Barry TX 75102 |
| Practice Telephone | 9037131511 |
| Practice Fax Number | 9037131519 |
| Mailing Telephone | 9032297367 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2019-10-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
PA02477 | TX | Allopathic & Osteopathic Physicians |
| Y | 363A00000X | Physician Assistant | PA02477 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 133367605 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 609 Medical Center Dr, Decatur, TX 762343836 | 9406275921 | 9406261351 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881914786 | Carol Lynn Nelson | Social Worker | 8767 Seminole Trl Ste 201c, Ruckersville, VA 22968-3494 | 2010-06-03 |
| 1609014307 | Carol Ann Nelson | Speech-Language Pathologist | 27 Palmetto St # 7, Brooklyn, NY 11221-4306 | 2009-02-03 |
| 1366642902 | Carol Elaine Nelson | Counselor | 406 Grant Ave, Duquesne, PA 15110 | 2007-07-23 |
| 1710923396 | Carol A. Nelson | Specialist/Technologist | 125 Wintergreen Ave, Southern Connecticut State University - Mfh, New Haven, CT 06515-1059 | 2006-06-21 |
| 1699738278 | Carol F Nelson | Nurse Practitioner | 7300 North Perimeter Rd, Malmstrom Afb, MT 59402 | 2006-04-06 |
| 1316937600 | Carol Ann Nelson | Midwife | 198 Second Rd, Summertown, TN 38483-8018 | 2005-10-26 |
| 1548508690 | Carol S Nelson | Marriage & Family Therapist | 163 2nd St, Woodland, CA 95695-3316 | 2013-01-24 |
| 1013154699 | Carol Nelson | Social Worker | 2225 W Broadway, Louisville, KY 40211-1003 | 2009-01-19 |
| 1225169402 | Carol Boush Nelson | Nurse Practitioner | 12201 Plum Orchard Dr, Silver Spring, MD 20904-7803 | 2007-03-08 |
| 1205975612 | Carol Kay Nelson | Speech-Language Pathologist | 33515 10 Pl S, 13 Cc Manning and Associates, Federal Way, WA 98003-7300 | 2007-02-05 |
| Street Address |
100 MUNICIPAL DR |
| City | GUN BARREL CITY |
| State | TX |
| Zip Code | 75156-3702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699758136 | Susan C Mcmullen | Family Medicine | 100 Municipal Dr, Suite 300, Gun Barrel City, TX 75156-3702 | 2005-11-29 |
| 1962039438 | Jami Thomas Spraggins | Occupational Therapy Assistant | 100 Municipal Dr, Gun Barrel City, TX 75156-3702 | 2020-03-25 |
| 1013543495 | Emma Jocelyn Skelton | Physical Therapist | 100 Municipal Dr, Gun Barrel City, TX 75156-3702 | 2020-03-18 |
| 1205462512 | Kathryn Kay Baker | Physical Therapy Assistant | 100 Municipal Dr, Gun Barrel City, TX 75156-3702 | 2020-03-18 |
| 1841826153 | Shannon Dickson | Physical Therapy Assistant | 100 Municipal Dr, Gun Barrel City, TX 75156-3702 | 2020-03-18 |
| 1255967923 | Aaron Edward Goswick | Physical Therapist | 100 Municipal Dr, Gun Barrel City, TX 75156-3702 | 2020-03-13 |
| 1306305719 | John Edward Bowman | Registered Nurse | 100 Municipal Dr, Gun Barrel City, TX 75156-3702 | 2019-03-15 |
| 1275633125 | Athens Emergency Medicine Associates, Pa | Emergency Medicine | 100 Municipal Dr, Gun Barrel City, TX 75156-3702 | 2006-09-22 |
| 1710998174 | Wilson Darell Murphy | Emergency Medicine | 100 Municipal Dr, Etmc - Cedar Creek Lake, Gun Barrel City, TX 75156-3702 | 2006-08-11 |
| 1285650721 | Jerry Edward James | Emergency Medicine | 100 Municipal Dr, Gun Barrel City, TX 75156-3702 | 2006-07-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841751757 | John Preston Turner | Social Worker | 122 S Old Gunbarrel Lane #6, Gun Barrel City, TX 75156 | 2019-03-26 |
| 1609389089 | Kristina Michelle Merritt | Social Worker | 122 Old Gun Barrel Ln, #6, Gun Barrel City, TX 75156 | 2017-11-08 |
| 1952840431 | Kristina Haning | Counselor | 122 South Old Gunbarrel Lane, #6, Gun Barrel City, TX 75156 | 2017-02-17 |
| 1306393582 | Budget Smiles Pllc | Dentist | 1116 W. Main St., Ste B, Gun Barrel City, TX 75156 | 2016-09-06 |
| 1346600210 | Gbc Medical Associates Pllc | Nurse Practitioner | 237 South Gun Barrel Lane, Gun Barrel City, TX 75156 | 2016-03-04 |
| 1548412943 | Bruce C Thurston | Dentist | 2527 W. Main St., Gun Barrel, TX 75156 | 2008-10-16 |
| 1952460016 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 1279 W Main Street, Gun Barrel City, TX 75156 | 2006-12-06 |
| 1467556100 | Karen Elizabeth Shrader | Family Medicine | 429 N Gun Barrel Lane, Suite 111, Gun Barrel City, TX 75156 | 2006-09-12 |
| 1447289509 | Howell Home Medical Corporation | Durable Medical Equipment & Medical Supplies | 735 West Main Street, Gun Barrel City, TX 75156 | 2006-07-01 |
| 1386677243 | Garrett O Smith Jr. | Physician Assistant | 2418 W. Main St, Gun Barrel City, TX 75156 | 2006-07-07 |
| Find all providers in zip 75156 | ||||
| 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 |
|---|---|---|---|---|
| 1932700440 | Heather Weir | Physician Assistant | 7331 Gaston Ave Ste 180, Dallas, TX 75214-4131 | 2020-11-03 |
| 1366042335 | Mary Elizabeth Arnold | Physician Assistant | 12455 Longmire Lakeview, Conroe, TX 77304-1087 | 2020-10-29 |
| 1396345443 | Avery Rhodes Schwartz | Physician Assistant | 2206 Latexo Dr, Houston, TX 77018-1717 | 2020-10-28 |
| 1174123111 | Stephanie Rae Moench | Physician Assistant | 1704 Enfield Rd Apt 102, Austin, TX 78703-3348 | 2020-10-28 |
| 1811596927 | Emily Lau | Physician Assistant | 3848 N Tarrant Pkwy Ste 120, Fort Worth, TX 76244-5422 | 2020-10-20 |
| 1720686116 | Richard Magana | Physician Assistant | 1651 Ridgemar Dr, Grand Prairie, TX 75051-3340 | 2020-10-16 |
| 1295333532 | Victoria Jane Campbell | Physician Assistant | 4412 Young Dr, Carrollton, TX 75010-1144 | 2020-10-09 |
| 1134726763 | Barbara Elizabeth Montoya | Physician Assistant | 3309 Nottingham Dr, Laredo, TX 78043-1202 | 2020-10-06 |
| 1376140400 | April L Thepsoumane | Physician Assistant | 4808 Hale Dr, Austin, TX 78749-3711 | 2020-10-01 |
| 1881291938 | Christine Nicole Nott | Physician Assistant | 13325 Hargrave Rd # 240, Houston, TX 77070-4539 | 2020-10-01 |
| Find all providers with the same taxonomy | ||||
| City | GUN BARREL CITY |
| Zip Code | 75156 |
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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.