Active NPI
Job James Nelson, CCP
- Perfusionist
- McAllen, TX
National Provider Identifier
1093476236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Perfusionist
- License
- FPF00000090
- Practice address
- 101 E Ridge Rd
McAllen, TX 78503-1847 - Phone
- (956) 632-6611
- NPI assigned
- Jan 9, 2022
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Perfusionist | 242T00000X | FPF00000090 | TX | Primary |
Addresses
Primary practice location
101 E Ridge Rd
McAllen, TX 78503-1847
Mailing address
7713 Gastin Dr # 410
Brownsville, TX 78520-3908
Phone (956) 536-8184
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 |
|---|---|---|---|
| FPF00000090 | TX | MD | Perfusionist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641686400000",
"number": "1093476236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7713 GASTIN DR # 410",
"city": "BROWNSVILLE",
"state": "TX",
"postal_code": "785203908",
"telephone_number": "956-536-8184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 E RIDGE RD",
"city": "MCALLEN",
"state": "TX",
"postal_code": "785031847",
"telephone_number": "956-632-6611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "JOB",
"middle_name": "JAMES",
"credential": "CCP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-01-09",
"last_updated": "2022-01-09",
"certification_date": "2022-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "242T00000X",
"taxonomy_group": "",
"desc": "Perfusionist",
"state": "TX",
"license": "FPF00000090",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in McAllen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.