Donald Nelson

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

FPSS-01430 Issued in UT

Practice address

3660 S West Temple
South Salt Lake, UT 84115-4441

Phone

(385) 315-1035

NPI assigned

Mar 30, 2023

Last updated

Mar 30, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1680134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680134400000",
    "number": "1144924234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "177 W PRICE AVE",
            "city": "SOUTH SALT LAKE",
            "state": "UT",
            "postal_code": "841154345",
            "telephone_number": "385-315-1035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3660 S WEST TEMPLE",
            "city": "SOUTH SALT LAKE",
            "state": "UT",
            "postal_code": "841154441",
            "telephone_number": "385-315-1035"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "177 W Price Ave",
            "address_purpose": "LOCATION",
            "city": "South Salt Lake",
            "state": "UT",
            "postal_code": "841154345",
            "country_code": "US",
            "telephone_number": "385-315-1035",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NELSON",
        "first_name": "DONALD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-30",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "UT",
            "license": "CPSS-01611",
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "UT",
            "license": "FPSS-01430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Myriad House PLLC
• Nathan Green O.D. P.C.
• Brian Neilson
• Abigail Ann Nelson
• Austyn Marie Nelson
• Mary Elizabeth Nelson, BSN, RN
• Reem Heaven Nev Bahar, PA
• Nextstep Support Services
• Katie Nicholls, PA-C
• George (Trey) Tanner Nicholson III

• Peer Specialist in South Salt Lake, UT
• Providers in South Salt Lake, UT by specialty
• Peer Specialist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2023; 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.