MRS. KRISTIN MARIE NELSON (NPI# 1992029300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992029300 |
| Entity Type | Individual |
| Full Name | MRS. KRISTIN MARIE NELSON |
| Other Name | MISS KRISTIN MARIE GRANDBOIS |
| Credential | PSYD, LP |
| Practice Address |
5255 Members Pkwy Nw Rochester MN 55901-8381 |
| Practice Telephone | 5072183701 |
| Practice Fax Number | 5072585503 |
| Mailing Telephone | 5072183701 |
| Mailing Fax Number | 5072585503 |
| Enumeration Date | 2010-03-15 |
| Last Update Date | 2019-10-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
LP5235 | MN | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 124 Elton Hills Ln Nw, Rochester, MN 559013577 | 5072821009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205211513 | Kristin Nelson | Specialist | 901 Babcock Blvd E, Delano, MN 55328-8600 | 2015-07-28 |
| 1689923005 | Kristin Noel Nelson | Speech-Language Pathologist | 48 Dally Ln, Buffalo, WY 82834-9491 | 2012-08-30 |
| 1225341191 | Kristin Wunker Nelson | Physician Assistant | 1890 Lpga Blvd Ste 250, Daytona Beach, FL 32117-7131 | 2010-07-21 |
| 1174642987 | Kristin Nelson | Occupational Therapy Assistant | 427 N Phillips St, Seaford, DE 19973-2305 | 2007-03-29 |
| 1144389636 | Kristin Ann Nelson | Dentist | 50 W Nicollet Blvd, Burnsville, MN 55337-4524 | 2006-12-08 |
| 1265539365 | Kristin Ann Nelson | Counselor | 9110 Foxtail Dr, Lincoln, NE 68526-9521 | 2006-09-20 |
| 1447874060 | Kristin Nelson | Optometrist | 120 E Countryside Pkwy, Yorkville, IL 60560-1877 | 2020-05-29 |
| 1053973123 | Kristin Nelson | Student in an Organized Health Care Education/Training Program | 2851 University Ave, Green Bay, WI 54311-5855 | 2019-06-28 |
| 1043778731 | Kristin R Nelson | Pain Medicine | 1044 N Francisco Ave Ste 404, Chicago, IL 60622-2743 | 2019-03-12 |
| 1134604416 | Kristin Nelson | Behavior Technician | 3110 Camino Del Rio S Ste 307, San Diego, CA 92108-3832 | 2018-10-02 |
| Street Address |
5255 MEMBERS PKWY NW |
| City | ROCHESTER |
| State | MN |
| Zip Code | 55901-8381 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831160217 | Christopher Alan Wall | Psychiatry & Neurology | 5255 Members Pkwy Nw, Rochester, MN 55901-8381 | 2006-02-01 |
| 1073113908 | Amy Roethler | Dietitian, Registered | 5255 Members Pkwy Nw, Rochester, MN 55901-8381 | 2020-10-29 |
| 1558999508 | Jessie Freesia Sorvaag Marg | Social Worker | 5255 Members Pkwy Nw, Rochester, MN 55901-8381 | 2020-03-27 |
| 1821622804 | Natalie Anne Jech | Counselor | 5255 Members Pkwy Nw, Rochester, MN 55901-8381 | 2020-02-27 |
| 1275008914 | Angela Marie Clark | Nurse Practitioner | 5255 Members Pkwy Nw, Rochester, MN 55901-8381 | 2018-10-09 |
| 1124522438 | Jacqueline A. Hass | Physician Assistant | 5255 Members Pkwy Nw, Rochester, MN 55901-8381 | 2018-03-21 |
| 1073034450 | Noelle Anne Kreofsky | Physician Assistant | 5255 Members Pkwy Nw, Rochester, MN 55901-8381 | 2017-07-06 |
| 1245625755 | Jennifer Rae Eyers | Counselor | 5255 Members Pkwy Nw, Rochester, MN 55901-8381 | 2015-04-01 |
| 1568870822 | Alicia R Snow | Social Worker | 5255 Members Pkwy Nw, Rochester, MN 55901-8381 | 2014-07-30 |
| 1568883411 | Sandra Bucher | Counselor | 5255 Members Pkwy Nw, Rochester, MN 55901-8381 | 2013-12-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417554627 | Austin Montgomery Gray | Chiropractor | 4229 West Frontage Rd Nw, Suite 4, Rochester, MN 55901 | 2020-10-01 |
| 1497303150 | Tatenda Valentine Rudziva | Nurse Practitioner | 2989 315 Elton Hills Drive Nw, Suite 201, Rochester, MN 55901 | 2019-08-27 |
| 1629566872 | Juan Simon Rico Mesa | Student in an Organized Health Care Education/Training Program | 4502 Medical Drive, San Antonio, 78229, San Antonio, TX 55901 | 2018-04-24 |
| 1336658277 | Minnesota Teen Challenge | Exclusive Provider Organization | 1542 Assisi Drive Nw, Rochester, MN 55901 | 2017-09-22 |
| 1235648270 | Mariah Adanene | Registered Nurse | 915 41st Street Nw, Rochester, MN 55901 | 2017-09-21 |
| 1912420639 | Anna Maria Schuman | Speech-Language Pathologist | 2746 Superior Drive Nw, Suite Number 150, Rochester, MN 55901 | 2017-07-25 |
| 1871013870 | Rhonda Keith | Counselor | 602 11th Avenue Nw #300, Rochester, MN 55901 | 2017-06-21 |
| 1548794316 | Trevor Kindle | Ophthalmology | 200 1st Ave Nw, Rochester, MN 55901 | 2017-04-18 |
| 1659810844 | Rx Team Home Health Care LLC | Home Health | 1027 7th St Nw Unit #204, Rochester, MN 55901 | 2017-02-21 |
| 1457713109 | Joshua Carter | Chiropractor | 3270 19th St Nw Ste 203, Rochester, MN 55901 | 2016-03-22 |
| Find all providers in zip 55901 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346883873 | Denise Pine | Psychologist | 1111 Elmwood Ave # D3, Rochester, NY 14620-3005 | 2019-10-28 |
| 1205305729 | Christopher Corona | Psychologist | 100 Linden Oaks, Suite 102, Rochester, NY 14625 | 2018-11-14 |
| 1275017550 | Leah Rothschild | Psychologist | 160 Allens Creek Rd Ste 160, Rochester, NY 14618-3312 | 2018-09-21 |
| 1639658693 | Garry Linsis Spink Jr. | Psychologist | 100 Pinewild Dr Fl 2, Rochester, NY 14606-4200 | 2018-08-10 |
| 1942798129 | Rachel Marie Rodorigo | Psychologist | 900 W University Dr Ste B3, Rochester, MI 48307-1817 | 2018-04-24 |
| 1740799162 | Douglas Andrew Raynor | Psychologist | 919 Winton Rd S Ste 106, Rochester, NY 14618-1633 | 2017-09-28 |
| 1356861884 | Lauren P Wadsworth | Psychologist | 21 Goodway Dr, Rochester, NY 14623-3029 | 2017-06-26 |
| 1881120947 | Dayton Walsh | Psychologist | 190 Goodman St S, Rochester, NY 14607-2651 | 2017-05-11 |
| 1770019713 | Brenna Cavanaugh | Psychologist | 200 East River Rd., Rochester, NY 14623 | 2017-05-11 |
| 1275068470 | Tara Marie Augenstein | Psychologist | University of Rochester, Dept. of Psychiatry, 300 Crittenden Blvd, Rochester, NY 14642 | 2017-04-25 |
| Find all providers in ROCHESTER | ||||
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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.