Shelley W Nelson, RN

Primary specialty

Pediatric Registered NurseTaxonomy code 163WP0200X

License

090000504RN Issued in OR

Practice address

2073 Olympic St
Springfield, OR 97477-3413

Phone

(541) 682-3550

NPI assigned

Dec 7, 2009

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1260144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301443200000",
    "number": "1124356928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2874 RIVERWALK LOOP",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974011506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2073 OLYMPIC ST",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974773413",
            "telephone_number": "541-682-3550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "SHELLEY",
        "middle_name": "W",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-07",
        "last_updated": "2011-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "OR",
            "license": "090000504RN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristie Lyn Nelson, QMHA-I
• Lanae Nelson
• Perry Vincent Nelson, MD
• Shane Lee Nelson
• Shelby Rae Nelson, LMT
• Virginia Louise Nelson, PHARMD
• Vahab Nemati, MD
• Neonatal Specialists PC
• Raeann Laura Nesta, CNM
• Nicole Nettles

• Pediatric Registered Nurse in Springfield, OR
• Providers in Springfield, OR by specialty
• Pediatric Registered Nurse in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2011; 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.