XAVIER KELTON NELSON (NPI# 1922516319) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1922516319 |
Entity Type | Individual |
Full Name | XAVIER KELTON NELSON |
Credential | MEDICAL TECHNOLOGIST |
Practice Address |
Highway 160 Mp 394.3 Kayenta Health Center Kayenta AZ 86033 |
Mailing Address |
Po Box 368 Kayenta AZ 86033-0368 |
Practice Telephone | 9286974134 |
Enumeration Date | 2018-01-19 |
Last Update Date | 2018-01-19 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 246QM0706X |
Spec/Tech, Pathology Specialization: Medical Technologist |
Technologists, Technicians & Other Technical Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013377753 | Xavier Nelson | Licensed Practical Nurse | 10 Howard St, Mount Clemens, MI 48043-5703 | 2016-02-23 |
Street Address |
HIGHWAY 160 MP 394.3 KAYENTA HEALTH CENTER |
City | KAYENTA |
State | AZ |
Zip Code | 86033 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164924965 | Mabelene Ann Shorty | Registered Nurse | Highway 160 Mp 394.3, Kayenta, AZ 86033 | 2018-03-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962048306 | Pauletta A Butterfly | Social Worker | Hwy. 160 Mp 394.3, Kayenta, AZ 86033 | 2019-11-20 |
1871143255 | Andrea Dawn Begay | Nurse's Aide | Us Hwy 160 M.p. 394.3, Kayenta, AZ 86033 | 2019-09-17 |
1083264451 | Mavis Ann Bahe | Nurse's Aide | Kayenta Health Center, Us Hwy 160, Mp 394.3, Kayenta, AZ 86033 | 2019-09-17 |
1609420165 | Emily Ingram Nimon | Registered Nurse | Kayenta Health Center Hwy 160 M.p. 394.3, Kayenta, AZ 86033 | 2019-08-01 |
1700439577 | Sherri A Verdon | Registered Nurse | Hwy 160 M.p 394.3, Kayenta, AZ 86033 | 2019-07-22 |
1447712104 | Cynthia Kaye Robbins | Registered Nurse | Us Highway 160 Mile Post 394.3, Kayenta, AZ 86033 | 2019-04-02 |
1871051052 | Brian Jason Miller | Registered Nurse | Hwy 160, Mile Post 394.3, Kayenta, AZ 86033 | 2019-03-07 |
1265915615 | Marissa Brooke Wall | Optometrist | 394.3 Us-160, Kayenta, AZ 86033 | 2018-09-12 |
1467952762 | Michael Ruddy | Pharmacist | Hwy 160 1/2 Mile South of Mile Post 394.3, Kayenta, AZ 86033 | 2018-02-14 |
1487160073 | Matthew Rosa | Spec/Tech, Pathology | Us Hwy 160 S Mp 364.3, Kayenta, AZ 86033 | 2017-12-19 |
Find all providers in zip 86033 |
Taxonomy Code | 246QM0706X |
Grouping | Technologists, Technicians & Other Technical Service Providers |
Classification | Spec/Tech, Pathology |
Specialization | Medical Technologist |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487160073 | Matthew Rosa | Spec/Tech, Pathology | Us Hwy 160 S Mp 364.3, Kayenta, AZ 86033 | 2017-12-19 |
1245746114 | Gereron Jerald Daw | Spec/Tech, Pathology | 394.3 Highway 160, Kayenta, AZ 86033 | 2017-12-14 |
1659852747 | Iverna Lou Parrish-john | Spec/Tech, Pathology | Highway 160 M.p. 394.3, Kayenta, AZ 86033 | 2018-08-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225660467 | Pimri, LLC | Spec/Tech, Pathology | 455 N Mesa Dr Ste 8e, Mesa, AZ 85201-5996 | 2020-02-05 |
1629586011 | Carrie Dee Jones | Spec/Tech, Pathology | Hwy 98 & Route 16, Tonalea, AZ 86044 | 2018-01-19 |
1447627864 | Robert Hartman | Spec/Tech, Pathology | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2015-09-02 |
1053703199 | John Desjarlais | Spec/Tech, Pathology | 500 N Us Highway 89, Prescott, AZ 86313-5001 | 2015-02-26 |
1467737338 | Michelle Quynhnhu Ngoc Nguyen | Spec/Tech, Pathology | 9328 E Raintree Dr, Scottsdale, AZ 85260-2098 | 2011-10-11 |
1700168168 | Adelita Sofia Deleon | Spec/Tech, Pathology | 12033 Agency Rd, Parker, AZ 85344-7718 | 2011-09-12 |
1508983727 | Steven Lee Herring II | Spec/Tech, Pathology | 943 Hualapai Way, Peach Springs, AZ 86434 | 2007-03-23 |
1396879771 | Timothy M Grant | Spec/Tech, Pathology | 12033 Agency Rd, Parker, AZ 85344-7718 | 2007-03-15 |
1730268376 | Brent Sazue | Spec/Tech, Pathology | 7900 S J Stock Rd, Tucson, AZ 85746-7012 | 2006-11-03 |
1689753238 | Peter Allen Rice | Spec/Tech, Pathology | 7900 S J Stock Rd, Tucson, AZ 85746-7012 | 2006-11-03 |
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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.