James Alonzo Nelson, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD00024355 Issued in WA

Practice address

5655 NE Windermere Rd
Seattle, WA 98105-2857

Phone

(206) 523-4546

Fax

(206) 522-6084

NPI assigned

Jul 9, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1183939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1134327489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5655 NE WINDERMERE RD",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981052857",
            "telephone_number": "206-523-4546",
            "fax_number": "206-522-6084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5655 NE WINDERMERE RD",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981052857",
            "telephone_number": "206-523-4546",
            "fax_number": "206-522-6084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "JAMES",
        "middle_name": "ALONZO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-09",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "WA",
            "license": "MDOOO24355",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MD00024355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Giovanna Isabelle Nelson, MD
• Gregory Bayard Nelson, L.C.O
• Gregory David Nelson, DC
• Heidi Nelson, LMP
• Ikea Nelson
• James Andrew Nelson, D.D.S.
• Janice Lynn Nelson, RN
• Jennifer Anne Nelson, N.D.
• Jessica Marin Nelson, LMP
• Jill E Nelson, PA-C

• Specialist in Seattle, WA
• Providers in Seattle, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.