NELSON-JOHNSON INC (NPI# 1669934121) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669934121 |
| Entity Type | Organization |
| Organization Name | NELSON-JOHNSON INC |
| Practice Address |
4923 Lincoln Way Ste 102 Ames IA 50014-3616 |
| Mailing Address |
2425 Aspen Rd Unit 105 Ames IA 50010-4093 |
| Practice Telephone | 5152924870 |
| Practice Fax Number | 8335974490 |
| Mailing Telephone | 8477362917 |
| Enumeration Date | 2019-04-03 |
| Last Update Date | 2019-06-11 |
| Authorized Official Name | IAN NELSON-JOHNSON (OWNER) |
| Authorized Official Telephone | 8477362917 |
| Authorized Official Credential | PSY. D., L. P. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Ames Mind Body Center | Doing Business As Name - Organization |
| Street Address |
4923 LINCOLN WAY STE 102 |
| City | AMES |
| State | IA |
| Zip Code | 50014-3616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295386472 | Kaitlyn Van Pay | Psychologist | 4923 Lincoln Way Ste 102, Ames, IA 50014-3616 | 2019-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316304819 | Erica Ostrem | Physical Therapy Assistant | 2200 Hamilton Drive, Ste 100, Ames, IA 50014 | 2016-01-28 |
| 1902068083 | Ashlesha Sharma | Radiology | 3617 Ross Rd, Ames, IA 50014 | 2008-06-30 |
| 1578774964 | Anna Marie Weber | Occupational Therapist | 2202 228th Pl, Ames, IA 50014 | 2007-05-25 |
| 1053534107 | Rienera Suzanne Sivesind | Family Medicine | 2724 Meadow Glen Rd, Ames, IA 50014 | 2007-04-10 |
| 1073667606 | Elizabeth Mccurdy | Family Medicine | 3510 Lincoln Way, Ames, IA 50014 | 2007-01-22 |
| 1114991320 | Kimberly Benton-herzberg | Counselor | 118 Hayward Ave Suite 8, Ames, IA 50014 | 2006-02-14 |
| 1275517864 | Lynda Elayne Wilson | Nurse Practitioner | 113 Colorado Ave, Suite 105, Ames, IA 50014 | 2005-12-06 |
| 1437146016 | Lisa M. Banitt | Obstetrics & Gynecology | 2530 Chamberlain St, Ames, IA 50014 | 2005-09-29 |
| 1720328750 | Jennifer Marie Devore | Nurse Practitioner | 2530 Chamberlain St, Ames, IA 50014 | 2013-02-28 |
| 1518109123 | Timothy James Hansen | Dermatology | 3600 W Lincoln Way, Mcfarland Clinic, PC, Ames, IA 50014 | 2009-03-27 |
| Find all providers in zip 50014 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124554555 | Terry Wayne Mason | Psychologist | 3705 Fletcher Blvd, Ames, IA 50010-4167 | 2017-05-04 |
| 1831547439 | Jessica Brooke Virzi | Psychologist | 3401 Cullen Dr, Ames, IA 50010-1164 | 2016-05-25 |
| 1407289580 | Sunde Michele Nesbit | Psychologist | 3823 Berkshire Ave, Ames, IA 50010-3943 | 2013-08-13 |
| 1801129572 | Kayla Jean Davidson | Psychologist | 223 S Walnut Ave, Ames, IA 50010-6974 | 2009-09-14 |
| 1538354998 | Kelly M Champion | Psychologist | 4820 Mortensen Road, Suite 102, Ames, IA 50014-5531 | 2007-09-10 |
| 1588159271 | Mary Nii Munteh | Psychologist | 4720 Mortensen Rd Ste 104, Ames, IA 50014-5534 | 2018-06-26 |
| 1427541226 | James Richard Donaldson IIi | Psychologist | 3600 Lincoln Way Ste 4, Ames, IA 50014-7595 | 2018-06-07 |
| 1164872172 | Evan Robert Buikema | Psychologist | 3600 Lincoln Way, Suite 4, Ames, IA 50014-7595 | 2016-06-21 |
| 1699811893 | Clifford Joseph Barta | Psychologist | 3600 Lincoln Way, Suite 4, Ames, IA 50014-7595 | 2007-01-29 |
| 1457331167 | Kenneth James Israel | Psychologist | 3600 Lincoln Way, Suite 4, Ames, IA 50014-7595 | 2006-01-19 |
| Find all providers in AMES | ||||
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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.