SHAWN P NELSON (NPI# 1891848149) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891848149 |
| Entity Type | Individual |
| Full Name | SHAWN P NELSON |
| Credential | OD |
| Practice Address |
2815 16th St Sw Minot ND 58701-6914 |
| Mailing Address |
Po Box 5010 Minot ND 58702-5010 |
| Practice Telephone | 7018573500 |
| Practice Fax Number | 7018575792 |
| Mailing Telephone | 7018575650 |
| Mailing Fax Number | 7018575031 |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2012-05-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 528 | ND | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 60469 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497037782 | Shawn Patrick Nelson | Pharmacist | 12387 Yellow Bluff Dr, Jacksonville, FL 32226-2025 | 2011-09-13 |
| 1700854312 | Shawn Peter Nelson | Chiropractor | 27200 Harper Ave Ste B, Saint Clair Shores, MI 48081-1909 | 2006-03-09 |
| 1497768261 | Shawn D Nelson | Nurse Anesthetist, Certified Registered | 400 N Holtzclaw Ave, Chattanooga, TN 37404-1916 | 2006-08-14 |
| 1346233020 | Shawn Keith Nelson | Psychiatry & Neurology | 3183 W State St, Suite 1201, Bristol, TN 37620-1712 | 2005-08-26 |
| Street Address |
2815 16TH ST SW |
| City | MINOT |
| State | ND |
| Zip Code | 58701-6914 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659469351 | Jill R Martinson-redekopp | Optometrist | 2815 16th St Sw, Minot, ND 58701-6914 | 2006-10-10 |
| 1811196504 | Juan J Ulloa | Dentist | 2815 16th St Sw, Minot, ND 58701-6914 | 2007-07-13 |
| 1508931676 | Chad J Wolsky | Ophthalmology | 2815 16th St Sw, Minot, ND 58701-6914 | 2006-11-22 |
| 1598830051 | Darrell P Williams | Ophthalmology | 2815 16th St Sw, Minot, ND 58701-6914 | 2006-11-21 |
| 1427129576 | Robert F Sanke | Ophthalmology | 2815 16th St Sw, Minot, ND 58701-6914 | 2006-11-12 |
| 1316018468 | Bradley J Schimke | Optometrist | 2815 16th St Sw, Minot, ND 58701-6914 | 2006-11-12 |
| 1700967890 | Michael G Mcmahon | Dentist | 2815 16th St Sw, Minot, ND 58701-6916 | 2006-10-17 |
| 1396833729 | Evelyne Bouchard-kindy | Ophthalmology | 2815 16th St Sw, Minot, ND 58701-6914 | 2006-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538767926 | Minot Commission On Aging, Inc | In Home Supportive Care | 21 1st Avenue Se, Minot, ND 58701 | 2020-10-16 |
| 1780207647 | Growing Together Inc | Counselor | 515 19 Ave Sw, Minot, ND 58701 | 2020-05-26 |
| 1144867847 | Sarah Howard | Registered Nurse | 1015 South Broadway, Ste. 2, Minot, ND 58701 | 2019-12-02 |
| 1962973453 | Julia Irene Lakoduk | Speech-Language Pathologist | Bell Elementary, 5901 Us-52, Minot, ND 58701 | 2018-12-10 |
| 1073000469 | Goodman Addiction Services | Counselor | 1809 South Broadway Suite S., Minot, ND 58701 | 2018-04-20 |
| 1811405988 | Mackenzie J Jones Pllc | Chiropractor | 1407 S Broadway Ste 123, Minot, ND 58701 | 2018-01-11 |
| 1265957617 | Cassandra Czerwonka | Behavioral Analyst | 1408 20th Ave Sw, Suite 7, Minot, ND 58701 | 2017-08-07 |
| 1689197493 | Rem North Dakota | Intermediate Care Facility, Mentally Retarded | 1905 2nd Street Se, Suite 1a, Minot, ND 58701 | 2017-07-24 |
| 1558890236 | Timothy J Corrigan | Chiropractor | 1418 S Broadway Ste C, Minot, ND 58701 | 2017-06-07 |
| 1265826036 | Premier Physical Therapy of North Dakota Pllc | Physical Therapist | 1715 South Broadway, Minot, ND 58701 | 2015-03-19 |
| Find all providers in zip 58701 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861727943 | Carolyn Anne Linster | Optometrist | 1100 N Broadway, Suite 110, Minot, ND 58703-1332 | 2009-10-07 |
| 1477709459 | Jessica Ann Ahmann | Optometrist | 1100 31st Ave Sw Ste 2, Minot, ND 58701-2007 | 2008-08-11 |
| 1740337211 | Cameron Deschamp Od PC | Optometrist | 3900 South Broadway, Minot, ND 58701 | 2007-01-05 |
| 1619049277 | Peter P. Dettlaff | Optometrist | 3900 S. Broadway St., Minot, ND 58701-7534 | 2006-11-15 |
| 1275621161 | Jason L Bradley | Optometrist | 207 Main St S, Minot, ND 58701-3915 | 2006-10-10 |
| 1659469351 | Jill R Martinson-redekopp | Optometrist | 2815 16th St Sw, Minot, ND 58701-6914 | 2006-10-10 |
| 1669581765 | Wendy Kay Lawson-kopp | Optometrist | 2400 Sw 10th St, Minot, ND 58701 | 2006-08-30 |
| 1962518779 | Cameron Thomas Deschamp | Optometrist | 3900 S Broadway, Minot, ND 58701-7534 | 2006-08-22 |
| 1710090485 | Darin Lee Johnson | Optometrist | 1525 31st Ave Sw, Suite E, Minot, ND 58701-2016 | 2006-08-16 |
| 1568407153 | Optical Outlook, P.C. | Optometrist | 1100 31st Ave Sw, Suite 2, Minot, ND 58701-2007 | 2006-06-18 |
| Find all providers in MINOT | ||||
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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.