DEBRA ANN NELSON (NPI# 1821493479) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821493479 |
| Entity Type | Individual |
| Full Name | DEBRA ANN NELSON |
| Credential | LPN |
| Practice Address |
2271 Pine Rd Rudolph WI 54475 |
| Practice Telephone | 7154244671 |
| Mailing Telephone | 7154244671 |
| Enumeration Date | 2014-10-24 |
| Last Update Date | 2014-10-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320700000X | Residential Treatment Facility, Physical Disabilities | 317774-31 | WI | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043834716 | Debra Nelson | Counselor | 11436 139th St Ph, Jamaica, NY 11436-1013 | 2020-05-29 |
| 1295277390 | Debra Nelson | Counselor | 76 Hunt Martin St Ste A, Blairsville, GA 30512-3694 | 2016-11-07 |
| 1235587171 | Debra Nelson | Nurse Practitioner | 7370 W Ridge Cir, Sherwood, AR 72120-3695 | 2016-06-01 |
| 1104225861 | Debra Nelson | Counselor | 121 Darby Creek Way, Prescott, AZ 86301-4413 | 2014-08-19 |
| 1710069042 | Debra Nelson | Neurological Surgery | 8285 W. Arby Avenue, Ste. 220, Las Vegas, NV 89113 | 2006-10-19 |
| 1689274870 | Debra Nelson | Occupational Therapist | 85 N Washington St, North Attleboro, MA 02760-1684 | 2020-10-28 |
| 1851640148 | Debra Shepard Nelson | Psychologist | 199 Main Street, Durham, CT 06422-0002 | 2012-09-03 |
| 1831470905 | Debra Jean Nelson | Physical Therapy Assistant | 1401 Bryant Williams Dr., Klamath Falls, OR 97601 | 2011-09-02 |
| 1831478924 | Debra L. Nelson | Physical Therapist | 24400 Highpoint Rd, Suite 115, Beachwood, OH 44122-6054 | 2011-08-08 |
| 1245470095 | Debra Kaye Nelson | Nurse Practitioner | 18220 State Highway 249 Ste 200, Houston, TX 77070 | 2009-03-05 |
| Street Address |
2271 PINE RD |
| City | RUDOLPH |
| State | WI |
| Zip Code | 54475 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164790366 | Bethany Lynn Benjamin | Physical Therapy Assistant | 5821 State Highway 34, Rudolph, WI 54475-9587 | 2011-12-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245877232 | Kevin John Curley | Home Health Aide | 9948 Church St Lot 31, Rudolph, OH 43462 | 2019-12-09 |
| 1649667536 | Donna Leveck | Home Health Aide | 9072 Otsego Pike, Rudolph, OH 43462-9748 | 2015-04-19 |
| Taxonomy Code | 320700000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Physical Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518409465 | Star Dialysis LLC | Residential Treatment Facility, Physical Disabilities | 4145 Lake Meadow Dr, Racine, WI 53402-5321 | 2016-11-09 |
| 1679920649 | Tcby,llc | Residential Treatment Facility, Physical Disabilities | 528 Violet Ave, Hartford, WI 53027-1087 | 2016-05-19 |
| 1558715714 | Esh Enterprises LLC | Residential Treatment Facility, Physical Disabilities | 124 N Henry St, Edgerton, WI 53534-1868 | 2016-04-14 |
| 1942666763 | Oak Park Place of Baraboo, LLC | Residential Treatment Facility, Physical Disabilities | 800 Waldo St, Baraboo, WI 53913-2893 | 2016-01-08 |
| 1639552946 | Patricia Robinson | Residential Treatment Facility, Physical Disabilities | 408 W Keefe Ave, Milwaukee, WI 53212-1462 | 2015-07-06 |
| 1356618672 | Bryant Homes, LLC. | Residential Treatment Facility, Physical Disabilities | 12501 W Needham Dr, New Berlin, WI 53151-1847 | 2011-12-01 |
| 1447559364 | Hyland Park Community | Residential Treatment Facility, Physical Disabilities | 5440 Caddis Bnd, Fitchburg, WI 53711-7105 | 2011-03-17 |
| 1124273479 | Independent Lifestyles, Inc. | Residential Treatment Facility, Physical Disabilities | 4405 S Deerwood Dr, New Berlin, WI 53151-9240 | 2008-11-28 |
| 1265601389 | Hunters Haven of Kenosha, LLC | Residential Treatment Facility, Physical Disabilities | 5500 41st St, Kenosha, WI 53144-1839 | 2008-02-22 |
| 1790180677 | Premier Medical Staffing Services, LLC | Residential Treatment Facility, Physical Disabilities | 10150 W National Ave, Suite 150, Milwaukee, WI 53227-2145 | 2014-11-04 |
| 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.