Carol Lynne Nelson, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F332060 Issued in NY

Practice address

17876 Saint Clair Ave
Cleveland, OH 44110

Phone

(216) 645-5539

Fax

(216) 298-0241

NPI assigned

Nov 24, 2006

Sex

Female

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

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.

• Gerry Homes Inc

  • Skilled Nursing Facility
  • Greenhurst, NY
  • NPI 1003812330
  NPD (past)
• Gerry Homes Inc

  • Skilled Nursing Facility
  • Jamestown, NY
  • NPI 1366448706
  NPD (past)
• Gerry Nursing Home Company

  • Skilled Nursing Facility
  • Gerry, NY
  • NPI 1164409801
  NPD (past)

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

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562630400000",
    "number": "1114093069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17876 SAINT CLAIR AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441102602",
            "telephone_number": "216-645-5539",
            "fax_number": "216-298-0241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17876 SAINT CLAIR AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "44110",
            "telephone_number": "216-645-5539",
            "fax_number": "216-298-0241"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3023 Route 430",
            "address_purpose": "LOCATION",
            "city": "Greenhurst",
            "state": "NY",
            "postal_code": "14742",
            "country_code": "US",
            "telephone_number": "716-483-5000",
            "fax_number": "716-985-6640",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3023 Route 430",
            "address_purpose": "LOCATION",
            "city": "Greenhurst",
            "state": "NY",
            "postal_code": "14742",
            "country_code": "US",
            "telephone_number": "716-483-5000",
            "fax_number": "716-985-6640",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NELSON",
        "first_name": "CAROL",
        "middle_name": "LYNNE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-24",
        "last_updated": "2019-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F332060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02175208",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristen Nelson-Veltkamp, PT
• Alexander Nelson, PHARMD.
• Alexander James Nelson
• Arvell Nelson
• Blake William Nelson, MD
• Charlie Nelson
• Clara Nelson
• Daniel Adam Nelson, DPM
• Diamond Nelson
• Dorothea Nelson

• Family Nurse Practitioner in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2019; 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.