Active NPI
Judy Lynn Nelson, APRN, CNP
- Nurse Practitioner
- Minneapolis, MN
National Provider Identifier
1104012145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 104299142
- Practice address
- 715 South 8TH Street
HCMC Clinic and Specialty Center
Minneapolis, MN 55404-1210 - Phone
- (651) 230-3181
- NPI assigned
- Sep 24, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | R 103753-5 | MN | |
| Nurse Practitioner | 363L00000X | 104299142 | MN | Primary |
Addresses
Primary practice location
715 South 8TH Street
HCMC Clinic and Specialty Center
Minneapolis, MN 55404-1210
Mailing address
2275 Youngman Avenue
#508W
St Paul, MN 55116-4409
Phone (651) 230-3181
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
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 104299142 | MN | MD | Nurse Practitioner |
| R 103753-5 | MN | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Tree Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Ambulatory Family Planning Facility
- Minneapolis, MN
- NPI 1952417412
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617580800000",
"number": "1104012145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2275 YOUNGMAN AVENUE",
"address_2": "#508W",
"city": "ST PAUL",
"state": "MN",
"postal_code": "551164409",
"telephone_number": "651-230-3181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "715 SOUTH 8TH STREET",
"address_2": "HCMC CLINIC AND SPECIALTY CENTER",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554041210",
"telephone_number": "651-230-3181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "JUDY",
"middle_name": "LYNN",
"credential": "APRN, CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-24",
"last_updated": "2021-04-05",
"certification_date": "2021-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "MN",
"license": "R 103753-5",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MN",
"license": "104299142",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.