Jodi Renee Nelson, LP

Primary specialty

PsychologistTaxonomy code 103T00000X

License

LP3298 Issued in MN

Practice address

2450 Riverside Ave
Minneapolis, MN 55454-1450

Phone

(320) 249-5602

NPI assigned

Oct 11, 2020

Last updated

Oct 11, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jodi Renee Nelson-Ryan Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1602374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602374400000",
    "number": "1023616208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2531 43RD AVE S",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563015493",
            "telephone_number": "320-249-5602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 RIVERSIDE AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554541450",
            "telephone_number": "320-249-5602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "JODI",
        "middle_name": "RENEE",
        "credential": "LP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-11",
        "last_updated": "2020-10-11",
        "certification_date": "2020-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP3298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JODI",
            "last_name": "NELSON-RYAN",
            "middle_name": "RENEE",
            "credential": "LP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jenna Marie Nelson, APRN, CNP
• Jennifer Nelson, RN
• Jennifer M Nelson, PHARMD
• Jillian Doris Nelson, PHD, LP
• Joann K Nelson
• Judy Lynn Nelson, APRN, CNP
• Kaitlyn Renae Nelson, RDN, LD
• Kari A Nelson, RN
• Katherine Elizabeth Nelson, PA
• Kathryn Mae Nelson, DNAP, APRN, CRNA

• Psychologist in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2020; 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.