Active NPI
Aislyn Marie Nelson, M.D., PH.D.
- Dermatology Physician
- Parker, CO
National Provider Identifier
1154717288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 0072201
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0072201 | CO | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Dermatology Group | Dermatology | Current | 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.
-
- Dermatology Physician
- Encinitas, CA
- NPI 1396923413
-
- Dermatology Physician
- Coronado, CA
- NPI 1326603028
-
- Dermatology Physician
- El Cajon, CA
- NPI 1912186917
Specialist
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.