Individual provider Active NPI

Aislyn Marie Nelson, M.D., PH.D.

  • Dermatology Physician
  • Parker, CO
National Provider Identifier
1154717288
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
0072201 Issued in CO
Practice address
11960 Lioness Way Ste 225
Parker, CO 80134-5640
Phone
(719) 992-0127
Fax
(720) 749-5363
NPI assigned
Apr 15, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 0072201 CO Primary

Addresses

Primary practice location

11960 Lioness Way Ste 225
Parker, CO 80134-5640

Mailing address

11960 Lioness Way Ste 225
Parker, CO 80134-5640
Phone (719) 992-0127

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190717003373 CA Practitioner - Dermatology 1850626540 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
0072201COMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Dermatology Group Dermatology CurrentSince Jul 15, 2019 Accepting new patients
William F Resh M.D. Skin & Skin Cancer Medical Group of San Diego, Inc Specialist Past Accepting new patients
Jacqueline Brogan MD Dermatology Past Accepting new patients

Locations

781 Garden View Ct
Ste 201
Encinitas, CA 92024
Phone (760) 634-3316

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1429056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1154717288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11960 LIONESS WAY STE 225",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801345640",
            "telephone_number": "719-992-0127",
            "fax_number": "720-749-5363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11960 LIONESS WAY STE 225",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801345640",
            "telephone_number": "719-992-0127",
            "fax_number": "720-749-5363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "AISLYN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-15",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CO",
            "license": "0072201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parker, CO

Sources for this page

Verify at the official NPI Registry.