Active NPI
Dorothy Jeanne Nelson, R.N.
- Ambulatory Care Registered Nurse
- Sisseton, SD
National Provider Identifier
1063665610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Care Registered Nurse
- License
- R 060225-9
- Practice address
- 100 Lake Traverse Dr
Sisseton, SD 57262-7046 - Phone
- (605) 698-7606
- Fax
- (605) 742-0183
- NPI assigned
- Oct 28, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Ambulatory Care Registered Nurse | 163WP2201X | R 060225-9 | MN | Primary |
Addresses
Primary practice location
100 Lake Traverse Dr
Sisseton, SD 57262-7046
Mailing address
100 Lake Traverse Dr
Sisseton, SD 57262-7046
Phone (605) 698-7606
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R 060225-9 | MN | MD | Ambulatory Care Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1225152000000",
"number": "1063665610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 LAKE TRAVERSE DR",
"city": "SISSETON",
"state": "SD",
"postal_code": "572627046",
"telephone_number": "605-698-7606",
"fax_number": "605-742-0183"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 LAKE TRAVERSE DR",
"city": "SISSETON",
"state": "SD",
"postal_code": "572627046",
"telephone_number": "605-698-7606",
"fax_number": "605-742-0183"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "DOROTHY",
"middle_name": "JEANNE",
"name_prefix": "Mrs.",
"credential": "R.N.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-28",
"last_updated": "2008-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "163WP2201X",
"taxonomy_group": "",
"desc": "Registered Nurse, Ambulatory Care",
"state": "MN",
"license": "R 060225-9",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sisseton, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.