Dale A Nelson, M.D.

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

MD00017395 Issued in WA

Practice address

1215 N McDonald Rd
Ste 101
Spokane Valley, WA 99216-1048

Phone

(509) 924-1950

Fax

(509) 921-0017

NPI assigned

Aug 4, 2006

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335830400000",
    "number": "1063420180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 N MCDONALD RD",
            "address_2": "STE 101",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992161048",
            "telephone_number": "509-924-1950",
            "fax_number": "509-921-0017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 N MCDONALD RD",
            "address_2": "STE 101",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992161048",
            "telephone_number": "509-924-1950",
            "fax_number": "509-921-0017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "DALE",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2012-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "WA",
            "license": "MD00017395",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREMERA",
            "identifier": "910987719",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1159201",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kalia Janai Neal, MA 61252181
• Mackenzie Maureen Neely
• Sarah Suzanne Neighbors
• Amber Nelson
• Christopher E Nelson, DNP, ARNP, FNP- C
• Elizabeth B Nelson
• Jolynn Kelbe Nelson
• Susan Lori Nemitz, P.T.
• Natalee N Nerren
• Christine Elizabeth Nettles, PT

• Geriatric Medicine (Internal Medicine) Physician in Spokane Valley, WA
• Providers in Spokane Valley, WA by specialty
• Geriatric Medicine (Internal Medicine) Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2012; 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.