Gregory Bayard Nelson, L.C.O

Primary specialty

OrthotistTaxonomy code 222Z00000X

License

OI00000271 Issued in WA

Practice address

1660 S Columbian Way
Seattle, WA 98108-1532

Phone

(206) 277-4401

Fax

(206) 277-1243

NPI assigned

Dec 4, 2008

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1228348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228348800000",
    "number": "1023253036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1660 S COLUMBIAN WAY",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981081532",
            "telephone_number": "206-277-4401",
            "fax_number": "206-277-1243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1660 S COLUMBIAN WAY",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981081532",
            "telephone_number": "206-277-4401",
            "fax_number": "206-277-1243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "GREGORY",
        "middle_name": "BAYARD",
        "name_prefix": "Mr.",
        "credential": "L.C.O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-12-04",
        "last_updated": "2008-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "WA",
            "license": "OI00000271",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN BOARD OF CERTIFICATION P&O",
            "identifier": "O 1509",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Nelson, RN
• Eric J Nelson
• Gayle Gulick Nelson, PH.D.
• George Michale Nelson
• Giovanna Isabelle Nelson, MD
• Gregory David Nelson, DC
• Heidi Nelson, LMP
• Ikea Nelson
• James Alonzo Nelson, M.D.
• James Andrew Nelson, D.D.S.

• Orthotist in Seattle, WA
• Providers in Seattle, WA by specialty
• Orthotist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.