DR. NICOLE E NELSON (NPI# 1669619318) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669619318 |
| Entity Type | Individual |
| Full Name | DR. NICOLE E NELSON |
| Credential | PHARMD, BCPS |
| Practice Address |
550 Osborne Rd Ne Fridley MN 55432-2718 |
| Mailing Address |
1283 129th Ave Nw Coon Rapids MN 55448-4016 |
| Practice Telephone | 7632364123 |
| Mailing Telephone | 6513343292 |
| Enumeration Date | 2009-01-17 |
| Last Update Date | 2009-01-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 118291 | MN | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669011532 | Nicole Nelson | Counselor | 25800 Industrial Blvd, Hayward, CA 94545-2935 | 2019-12-24 |
| 1851860852 | Nicole Loren Nelson | Assistant Behavior Analyst | 12211 Titus Ave, Saratoga, CA 95070-3456 | 2018-11-19 |
| 1699255505 | Nicole Elizabeth Nelson | Occupational Therapy Assistant | 3650 S Interstate 35, Waxahachie, TX 75165 | 2018-08-20 |
| 1487155073 | Nicole T Nelson | Dentist | 5805 Manderson St, Omaha, NE 68104-2939 | 2018-02-28 |
| 1861938755 | Nicole Janae Nelson | Occupational Therapist | 704 Willow Ave Apt 1l, Hoboken, NJ 07030-4086 | 2017-01-16 |
| 1730559980 | Nicole Nelson | Social Worker | 117 Maple St, Norton, MA 02766-2619 | 2015-09-30 |
| 1710290044 | Nicole Cherie Nelson | Counselor | 721 W 1850 N, Provo, UT 84604-1416 | 2010-07-15 |
| 1205048709 | Nicole Marie Nelson | Speech-Language Pathologist | Naamans Creek Country Manor, 1194 Naamans Creek Road, Boothwyn, PA 19061 | 2007-05-04 |
| 1942343108 | Nicole Harris Nelson | Dentist | 1013 Spring Ln, Sanford, NC 27330 | 2007-02-15 |
| 1477625432 | Nicole Windhurst Nelson | Marriage & Family Therapist | 734 A St, San Rafael, CA 94901-3923 | 2006-11-14 |
| Street Address |
550 OSBORNE RD NE |
| City | FRIDLEY |
| State | MN |
| Zip Code | 55432-2718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689666497 | Jeffrey S Herman | Radiology | 550 Osborne Rd Ne, Unity Radiation Therapy Ctr, Fridley, MN 55432-2718 | 2005-08-17 |
| 1982231189 | Sylvia Lirazan | Physical Medicine & Rehabilitation | 550 Osborne Rd Ne, Fridley, MN 55432-2718 | 2020-03-26 |
| 1487206926 | Marie Granquist | Physical Therapy Assistant | 550 Osborne Rd Ne, Fridley, MN 55432-2718 | 2019-07-15 |
| 1003468539 | Laura Jeanne Houfek | Occupational Therapist | 550 Osborne Rd Ne, Fridley, MN 55432-2718 | 2019-07-15 |
| 1497307235 | Shaun Michael Sperr | Physical Therapist | 550 Osborne Rd Ne, Fridley, MN 55432-2718 | 2019-07-11 |
| 1285192252 | Chamaera Sowell | Social Worker | 550 Osborne Rd Ne, Fridley, MN 55432-2718 | 2019-03-07 |
| 1932665858 | Amy Kirsten Maynard | Registered Nurse | 550 Osborne Rd Ne, Fridley, MN 55432-2718 | 2019-02-15 |
| 1225593825 | Shannon Thomas Woulfe | Psychologist | 550 Osborne Rd Ne, Fridley, MN 55432-2718 | 2019-02-07 |
| 1578031779 | Caroline Betty Muthuri | Nurse Practitioner | 550 Osborne Rd Ne, Fridley, MN 55432-2718 | 2018-11-06 |
| 1841783131 | Symphony Michelle Moser | Speech-Language Pathologist | 550 Osborne Rd Ne, Fridley, MN 55432-2718 | 2018-06-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336791177 | Adelyn Ruth Kopp | Occupational Therapist | 500 Osborne Rd Ne Suite 365, Fridley, MN 55432 | 2019-07-11 |
| 1831665603 | White Smiles Family Dentistry Pllc | Dentist | 1611 County Hwy 10, Minneapolis, MN 55432 | 2018-10-19 |
| 1518402213 | Peaceful Adult Day Center LLC. | Home Health | 6267 University Ave Ne, Fridley, MN 55432 | 2017-01-04 |
| 1205383742 | Farhiya Mahamud Gelle I | Durable Medical Equipment & Medical Supplies | 6329 5th Street Ne Apt 8, Fridley, MN 55432 | 2016-09-01 |
| 1093163164 | Christiane Schwecke | Specialist/Technologist | 8290 University Ave N, Fridley, MN 55432 | 2016-05-31 |
| 1336551563 | Amy White Mountain | Massage Therapist | 1611 County Hwy 10 Ne, Spring Lake Park, MN 55432 | 2014-05-22 |
| 1942629795 | Shane O'neil | Dermatology | 500 Osborne Rd Ne Ste 330, Fridley, MN 55432 | 2014-04-09 |
| 1952648180 | John Franklyn Marshall | Family Medicine | 480 Osborne Road Ne, Suite 100, Fridley, MN 55432 | 2013-01-08 |
| 1558610519 | Novacare Outpatient Rehabilitation East Inc | Clinic/Center | 480 Osborne Road, Number 280, Fridley, MN 55432 | 2012-09-06 |
| 1336423391 | Christian Restoration Services | Counselor | 7157 Commerce Circle W, Fridley, MN 55432 | 2011-10-07 |
| Find all providers in zip 55432 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083958086 | Camanh Nguyen | Pharmacist | 7411 University Ave Ne, Fridley, MN 55432-3118 | 2012-11-15 |
| 1063409365 | Ann M Toscano | Pharmacist | 5255 E River Rd, Suite 204, Fridley, MN 55421-1026 | 2005-10-02 |
| 1699373548 | Chad Baldner | Pharmacist | 8450 University Ave Ne, Fridley, MN 55432-1164 | 2020-10-13 |
| 1902404817 | James Edwin Klussman | Pharmacist | 8450 University Ave Ne, Fridley, MN 55432-1164 | 2020-10-13 |
| 1346853785 | Dereje M Gemeda | Pharmacist | 6525 University Ave Ne, Fridley, MN 55432-4331 | 2020-08-25 |
| 1235741620 | Alyssa Devine | Pharmacist | 246 57th Ave Ne, Fridley, MN 55432-5420 | 2020-08-18 |
| 1336757194 | Elvis E Osagie | Pharmacist | 7362 University Ave Ne Ste 211, Fridley, MN 55432-3151 | 2020-07-17 |
| 1326662149 | Naomi Mehn Ngaima | Pharmacist | 755 53rd Ave Ne, Fridley, MN 55421-1240 | 2020-06-08 |
| 1306371505 | Blair J Miller | Pharmacist | 5255 E River Rd, Fridley, MN 55421-1026 | 2017-04-25 |
| 1235689258 | Brian Kurt | Pharmacist | 8450 University Ave Ne, Fridley, MN 55432-1164 | 2016-10-13 |
| Find all providers in FRIDLEY | ||||
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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.