DR. NICHOLAS MICHAEL NELSON (NPI# 1962716357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962716357 |
| Entity Type | Individual |
| Full Name | DR. NICHOLAS MICHAEL NELSON |
| Credential | PHARMD, BCPS, CGP |
| Practice Address |
5500 E Kellogg Dr Wichita KS 67218-1607 |
| Practice Telephone | 3166852221 |
| Practice Fax Number | 3166343048 |
| Mailing Telephone | 3166852221 |
| Mailing Fax Number | 3166343048 |
| Enumeration Date | 2010-07-28 |
| Last Update Date | 2016-06-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
14855-1 | KS | Pharmacy Service Providers |
| N | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
21203 | NC | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386273449 | Nicholas Thomas Nelson | Military Health Care Provider | 633d Medical Group, 76 Nealy Ave, Building #92, Apo, AA 23665 | 2020-04-02 |
| 1184252611 | Nicholas Patrick Nelson | Student in an Organized Health Care Education/Training Program | 1000 N Lee Ave Rm 1980, Oklahoma City, OK 73102-1036 | 2020-03-30 |
| 1497397780 | Nicholas A Nelson | Rehabilitation Practitioner | 940 Avenue 64, Pasadena, CA 91105-2711 | 2019-10-08 |
| 1093210395 | Nicholas Jon Nelson | Student in an Organized Health Care Education/Training Program | 1600 Sw Archer Rd Ste 4102, Gainesville, FL 32610-3003 | 2018-03-28 |
| 1124537998 | Nicholas Roy Nelson | Physician Assistant | 700 Lawn Ave, Sellersville, PA 18960-1548 | 2017-09-25 |
| 1811342371 | Nicholas Ryan Nelson | Student in an Organized Health Care Education/Training Program | 200 N Greensboro St, Carrboro, NC 27510-1833 | 2016-05-03 |
| 1699160671 | Nicholas John Nelson | Radiology | 1633 N Capitol Ave Methodist Medical Tower, Ste 640, Indianapolis, IN 46202-1261 | 2015-04-06 |
| 1396133211 | Nicholas Gene Nelson | Physical Therapist | 3919 W Foster Ave, Chicago, IL 60625-6056 | 2014-12-30 |
| 1558768010 | Nicholas Marsh Nelson | Pharmacist | 5901 Nw 39th St, Warr Acres, OK 73122-2015 | 2014-11-28 |
| 1164701843 | Nicholas Anthony Nelson | Internal Medicine | 1411 E 31st St, Department of Medicine, Oakland, CA 94602-1018 | 2011-08-11 |
| Street Address |
5500 E KELLOGG DR |
| City | WICHITA |
| State | KS |
| Zip Code | 67218-1607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194729673 | Catherine A Toomey | Physician Assistant | 5500 E Kellogg Dr, Wichita, KS 67218-1607 | 2005-06-13 |
| 1225642051 | Mark Clark | Pharmacist | 5500 E Kellogg Dr, Wichita, KS 67218-1607 | 2020-08-31 |
| 1598377483 | Rachel Elaine Donis | Occupational Therapist | 5500 E Kellogg Dr, Wichita, KS 67218-1607 | 2020-08-20 |
| 1164030060 | Jacob Michael Goeser | Optometrist | 5500 E Kellogg Dr, Wichita, KS 67218-1607 | 2020-07-16 |
| 1992329262 | Aimee Boriboun | Pharmacist | 5500 E Kellogg Dr, Wichita, KS 67218-1607 | 2020-06-02 |
| 1760012900 | Lisa Christy | Nurse Practitioner | 5500 E Kellogg Dr, Wichita, KS 67218-1607 | 2020-01-15 |
| 1790324499 | Linda Walim Nola | Pharmacist | 5500 E Kellogg Dr, Wichita, KS 67218-1607 | 2019-12-27 |
| 1164078010 | Daniel Steven Haley | Social Worker | 5500 E Kellogg Dr, Wichita, KS 67218-1607 | 2019-08-16 |
| 1790331783 | Jason Alan Jester | Social Worker | 5500 E Kellogg Dr, Wichita, KS 67218-1607 | 2019-08-15 |
| 1629624770 | Emily Suzanne Stuart | Social Worker | 5500 E Kellogg Dr, Wichita, KS 67218-1607 | 2019-08-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114544392 | Diana Ho | Optometrist | 980 Oliver Street, Wichita, KS 67218 | 2020-07-03 |
| 1134773690 | Lily Lopez | Nurse's Aide | 5107 E Kellogg Drive, Wichita, KS 67218 | 2019-08-01 |
| 1750862512 | Kelsi Wenger | Student in an Organized Health Care Education/Training Program | 5500 E Kellog Dr, Wichita, KS 67218 | 2018-08-28 |
| 1770038937 | Hair Replacement Clinic | Specialist | 1815 S Windsor, Wichita, KS 67218 | 2016-08-17 |
| 1457757346 | South Wind Women's Centter, LLC | Clinic/Center | 5701 E Kellogg Drive, Wichita, KS 67218 | 2014-11-05 |
| 1124460787 | Teri Kitchen | Social Worker | 3414 Kinkaid, Wichita, KS 67218 | 2013-07-24 |
| 1053660142 | Glenda Rodgers-lawless, Ph.d., Lcpc, Pa | Community/Behavioral Health | 4601 E Douglas, Wichita, KS 67218 | 2012-09-05 |
| 1649541848 | Stephen Rhinehart | Registered Nurse | 5500 E Kellogg Dr., Wichita, KS 67218 | 2012-01-19 |
| 1457666927 | Recovery Services Council Inc. | Point of Service | 1611 South Rutan, Wichita, KS 67218 | 2010-08-09 |
| 1043535867 | Melissa A Weinley | Respiratory Therapist, Registered | 5500 East Kellog Dr, Wichita, KS 67218 | 2010-04-05 |
| Find all providers in zip 67218 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194097766 | Todd Schroeder | Pharmacist | 929 N Saint Francis Street, Via Christi, Wichita, KS 67214 | 2012-01-30 |
| 1205435070 | David Duong | Pharmacist | 9450 E Harry St, Wichita, KS 67207-5074 | 2020-10-22 |
| 1538768452 | Tin T Le | Pharmacist | 3211 S Seneca St, Wichita, KS 67217-3348 | 2020-10-21 |
| 1750989448 | Anh T Le | Pharmacist | 7707 E Central Ave, Wichita, KS 67206-2190 | 2020-10-14 |
| 1285232934 | Huong Xuan Dong | Pharmacist | 3707 N Woodlawn Blvd, Wichita, KS 67220-2222 | 2020-10-14 |
| 1922606839 | Sue Lynn Robinson | Pharmacist | 3707 N Woodlawn Blvd, Wichita, KS 67220-2222 | 2020-10-13 |
| 1659981660 | Madeline Mahan Shipley | Pharmacist | 5500 E Harry St, Wichita, KS 67218-3826 | 2020-08-04 |
| 1013552629 | Yvonne Elias-moussa | Pharmacist | 1100 N Saint Francis Ave Ste 130, Wichita, KS 67214-2865 | 2019-11-07 |
| 1164076246 | Linh Le | Pharmacist | 5500 E Kellogg Dr, Wichita, KS 67218-1607 | 2019-07-28 |
| 1811485329 | Victoria Snyder | Pharmacist | 313 S Market St, Wichita, KS 67202-3805 | 2018-04-30 |
| Find all providers in WICHITA | ||||
Please comment or provide details below to improve the information on DR. NICHOLAS MICHAEL NELSON.
| 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.