Active NPI
Emily Nelson
- School Counselor
- Savage, MN
National Provider Identifier
1033734504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Counselor
- License
- 430850
- Practice address
- 7575 150TH St W
Savage, MN 55378-2131 - Phone
- (952) 226-8791
- NPI assigned
- Jun 10, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Counselor | 101YS0200X | 430850 | MN | Primary |
Addresses
Primary practice location
7575 150TH St W
Savage, MN 55378-2131
Mailing address
1043 Osceola Ave
Saint Paul, MN 55105-3235
Phone (612) 615-2156
Other names 1
- Emily Nelson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 430850 | MN | MD | School Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591747200000",
"number": "1033734504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1043 OSCEOLA AVE",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551053235",
"telephone_number": "612-615-2156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7575 150TH ST W",
"city": "SAVAGE",
"state": "MN",
"postal_code": "553782131",
"telephone_number": "952-226-8791"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "EMILY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-06-10",
"last_updated": "2020-06-10",
"certification_date": "2020-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "MN",
"license": "430850",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "EMILY",
"last_name": "NELSON",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Savage, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.