AMBER L NELSON (NPI# 1871006478) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1871006478 |
Entity Type | Individual |
Full Name | AMBER L NELSON |
Credential | SSP |
Practice Address |
15501 E Avenue L Lewistown IL 61542-9454 |
Practice Telephone | 3095472231 |
Mailing Telephone | 3095472231 |
Enumeration Date | 2017-11-06 |
Last Update Date | 2017-11-06 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TS0200X |
Psychologist Specialization: School |
382924 | IL | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871124230 | Amber Nelson | Behavior Technician | 1297 W Pine Ave Apt E102, Meridian, ID 83642-1960 | 2020-02-03 |
1184182024 | Amber Khyra Jamisen Nelson | Counselor | 2123 Renaissance Blvd Apt 208, Miramar, FL 33025-5689 | 2019-03-11 |
1467998781 | Amber Marie Nelson | Behavioral Analyst | 1900 E Tropicana Ave, Apt 66, Las Vegas, NV 89119-6531 | 2017-01-10 |
1467859249 | Amber Nelson | Nurse Practitioner | 3328 Morrell Ave, Philadelphia, PA 19114-1222 | 2014-11-23 |
1386948545 | Amber Nicole Nelson | Occupational Therapy Assistant | 505 Caldwell Ln, Dunbar, WV 25064-2026 | 2011-01-03 |
1699385500 | Amber Lee Nelson | Student in an Organized Health Care Education/Training Program | 3600 N Garfield St, Midland, TX 79705-6329 | 2020-08-05 |
1992263222 | Amber R Nelson | Behavior Technician | 3865 Wilder Rd, Bay City, MI 48706-2136 | 2019-03-05 |
1366933293 | Amber Nelson | Counselor | 6013 S Redwood Rd, Taylorsville, UT 84123-5220 | 2018-05-26 |
1871099622 | Amber Sue Nelson | Counselor | 711 Barnes Ave, La Junta, CO 81050-2138 | 2018-04-02 |
1841650561 | Amber Nelson | Nurse Practitioner | 1800 Al Highway 157 Ste 303, Cullman, AL 35058-1273 | 2016-02-24 |
Street Address |
15501 E AVENUE L |
City | LEWISTOWN |
State | IL |
Zip Code | 61542-9454 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396947867 | Lewistown Cusd 97 | Local Education Agency (LEA) | 15501 E Avenue L, Lewistown, IL 61542-9454 | 2007-06-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528379906 | County of Fulton | Public Health or Welfare | 100 N Main St, Lewistown, IL 61542-0111 | 2010-06-30 |
1942489745 | Harry E Burch | Chiropractor | 510 N Main St, Lewistown, IL 61542-1143 | 2007-10-29 |
1326040866 | James Victor Burch | Chiropractor | 510 N Main St, Lewistown, IL 61542-1143 | 2005-08-15 |
1598767576 | Burch Chiropractic Ltd | Chiropractor | 510 N Main St, Lewistown, IL 61542-1143 | 2005-08-10 |
1295804722 | Jaime Humberto Cercone | General Practice | 501 W Milton Ave, Lewistown, IL 61542-1322 | 2006-11-07 |
1184064156 | R & Q Corporation | Pharmacy | 193 S Main St, Lewistown, IL 61542-1412 | 2013-07-05 |
1417092099 | Main Street Pharmacy Inc | Pharmacy | 195 S Main St, Lewistown, IL 61542-1412 | 2007-02-21 |
1144363573 | Main Street Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 195 S Main St, Lewistown, IL 61542-1412 | 2007-02-15 |
1750527172 | Graham Hospital Association | Family Medicine | 408 S. Main Street, Lewistown, IL 61542-1563 | 2009-01-07 |
1588758700 | Gretchen Wayne Fawcett | Physician Assistant | 408 S Main St, Lewistown, IL 61542-1563 | 2006-10-03 |
Find all providers in zip 61542 |
Taxonomy Code | 103TS0200X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | School |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912067919 | Central Mt Learning Resource Center | Psychologist | 215 7th Ave S, Lewistown, MT 59457-2921 | 2006-12-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629679428 | Jessica Scharf | Psychologist | 8502 Bailey Rd # 63, Darien, IL 60561-5333 | 2020-11-06 |
1225637283 | Nicole Maggard | Psychologist | 137 Somerset Rd, Willowbrook, IL 60527-5470 | 2020-10-21 |
1033724232 | Shadequia Davis | Psychologist | 402 Richards St, Joliet, IL 60433-2218 | 2020-09-14 |
1043823123 | Lindsay Ann Franklin | Psychologist | 436 Coral Dr, Morton, IL 61550-8505 | 2020-08-28 |
1053923995 | Annie Biehl | Psychologist | 9750 Soreng Ave, Schiller Park, IL 60176-2105 | 2020-08-21 |
1811508989 | Caroline Cook | Psychologist | 246 S Fair Ave, Elmhurst, IL 60126-3600 | 2020-08-12 |
1760009955 | Tammy Carroll | Psychologist | 3801 Lake Ct, Trenton, IL 62293-2938 | 2020-07-03 |
1316568629 | Denisa Kerekes | Psychologist | 1536 Cedarwood Ct, Gurnee, IL 60031-6346 | 2020-04-28 |
1740801174 | Jessica Berlinghof | Psychologist | 220 Greenwood Dr, Round Lake Park, IL 60073-3444 | 2020-04-27 |
1861038200 | Ease of Mind Pllc | Psychologist | 10526 West Cermak Road, Suite 308aa, Westchester, IL 60154 | 2019-11-20 |
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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.