DR. LAURENCE CLYDE NELSON (NPI# 1659389914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659389914 |
| Entity Type | Individual |
| Full Name | DR. LAURENCE CLYDE NELSON |
| Credential | D. MIN. |
| Practice Address |
2500 S Broadway Suite #300 Edmond OK 73013-4038 |
| Practice Telephone | 4053418671 |
| Practice Fax Number | 4053418671 |
| Mailing Telephone | 4053418671 |
| Mailing Fax Number | 4053418671 |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101YP2500X |
Counselor Specialization: Professional |
461 | OK | Behavioral Health & Social Service Providers |
| X | 106H00000X | Marriage & Family Therapist | 061 | OK | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821495797 | Laurence Ricardo Nelson Jr. | Counselor | 29 Florence St, Clawson, MI 48017-2129 | 2014-11-20 |
| 1730165697 | Laurence M Nelson Jr. | Ophthalmology | 2121 N 1700 W, Layton, UT 84041-8803 | 2005-12-21 |
| Street Address |
2500 S BROADWAY SUITE #300 |
| City | EDMOND |
| State | OK |
| Zip Code | 73013-4038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871048082 | A Safe Landing, Pllc | Counselor | 2500 S Broadway, Ste 300, Edmond, OK 73013-4038 | 2016-08-17 |
| 1205266335 | Constance Nevlin Johnson | Rehabilitation Counselor | 2500 S Broadway, Bldg 100, Suite 100, Edmond, OK 73013-4038 | 2013-11-27 |
| 1932531696 | Caring Partners, Inc. | Home Health | 2500 S Broadway, Ste 122, Edmond, OK 73013-4038 | 2013-08-05 |
| 1588977011 | Child and Family Therapy LLC | Counselor | 2500 S Broadway, Building 1, Suite 110, Edmond, OK 73013-4038 | 2010-07-26 |
| 1225203615 | Lou Ann Moore | Counselor | 2500 S Broadway, Building 1, Suite 110, Edmond, OK 73013-4038 | 2008-04-25 |
| 1275712903 | Kim Grubbs | Speech-Language Pathologist | 2500 S Broadway, Ste 200, Edmond, OK 73013-4038 | 2007-10-30 |
| 1932390812 | Susan Elizabeth Jordan | Counselor | 2500 S Broadway, Suite 300, Edmond, OK 73013-4038 | 2007-08-06 |
| 1316140973 | Lyn Patton | Speech-Language Pathologist | 2500 S Broadway, Suite 200, Edmond, OK 73013-4038 | 2007-06-08 |
| 1760685168 | Marie Gundlach | Counselor | 2500 S Broadway, Suite 118, Edmond, OK 73013-4038 | 2007-06-06 |
| 1831300151 | Tara Savedra | Speech-Language Pathologist | 2500 S Broadway, Suite 200, Edmond, OK 73013-4038 | 2007-05-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407461866 | Alison Church-pugh | Case Manager/Care Coordinator | 1441 Kelley Pointe Pkwy, Edmond, OK 73013 | 2020-09-12 |
| 1699395343 | Dental Specialists of Edmond | Dentist | 16430 Muirfield Pl, Edmond, OK 73013 | 2020-04-23 |
| 1104477215 | Kammerer Richey LLC | Nurse Practitioner | 902 Nw 139th Street Parway, Edmond, OK 73013 | 2019-09-20 |
| 1811459191 | Peak Movement Centre, Pllc | Clinic/Center | 13816 Santa Fe Crossing Dr, Edmond, OK 73013 | 2019-04-04 |
| 1851858492 | Luma Hilal | Pharmacist | 2228 Nw 15th Terrace, Edmond, OK 73013 | 2019-03-01 |
| 1578031571 | Oklahoma Wellness Group LLC | Internal Medicine | 14101 North Esatern Avenue Suite B, Edmond, OK 73013 | 2018-11-07 |
| 1477034395 | Specialty Care Pediatrics, Inc. | Home Health | 2256 Nw 164th Street, Edmond, OK 73013 | 2018-08-28 |
| 1972083921 | Pooja Bhakta | Physician Assistant | Stanbro Healthcare Group LLC, 2000 E. 15th St., Suite 400-a, Edmond, OK 73013 | 2018-08-20 |
| 1417460577 | Oklahoma Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 15103 N Macarthur Blvd, Oklahoma City, OK 73013 | 2017-11-13 |
| 1356879753 | Shawn Smith Optimal Pt and Performance, Pllc | Physical Therapist | 336 Ne 145th Pl, Edmond, OK 73013 | 2017-05-30 |
| Find all providers in zip 73013 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164034898 | Heather Jean Miller | Counselor | 1320 E 9th St Ste 8, Edmond, OK 73034-5773 | 2020-08-24 |
| 1225640337 | Michelle Davis Gannaway | Counselor | 13315 N Coltrane Rd, Edmond, OK 73013-8257 | 2020-08-19 |
| 1871132316 | Jaime Sue Taylor | Counselor | 26 E 9th St Ste B, Edmond, OK 73034-3911 | 2020-01-01 |
| 1124675749 | Kelly Love Wallace | Counselor | 2817 Stonebrook Rd, Edmond, OK 73003-2105 | 2019-08-19 |
| 1346704996 | Forward Momentum | Counselor | 1600 E 15th St Ste 503, Edmond, OK 73013-6690 | 2019-01-29 |
| 1952885030 | Cathy Ann Angier | Counselor | 1601 S State St Ste 400, Edmond, OK 73013-3697 | 2018-09-24 |
| 1639655400 | Hannah Elise Cordero | Counselor | 2120 S Broadway, Edmond, OK 73013-4021 | 2018-07-16 |
| 1306350368 | Stanley Michael Daniel | Counselor | 3116 Ne 138th St, Edmond, OK 73013-7068 | 2017-11-28 |
| 1699285601 | Jill Nichols | Counselor | 2221 E Memorial Rd, Edmond, OK 73013-5518 | 2017-10-04 |
| 1952857039 | Shae Gregston | Counselor | 2101 Brookview Ln, Edmond, OK 73034-4848 | 2016-08-29 |
| Find all providers in EDMOND | ||||
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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.