Elaine Marie Nelson, COSMETIC THERAPIST

Primary specialty

Other TechnicianTaxonomy code 247200000X

License

32.012312 Issued in OH

Practice address

Cosmetic Laser Inc
8353 Mentor Ave. Unit 7
Mentor, OH 44077

Phone

(440) 477-4074

NPI assigned

Jan 27, 2020

Sex

Female

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1580083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580083200000",
    "number": "1164053385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5822 WOODHILL ST",
            "city": "PAINESVILLE",
            "state": "OH",
            "postal_code": "440775167",
            "telephone_number": "440-477-4074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "COSMETIC LASER INC",
            "address_2": "8353 MENTOR AVE. UNIT 7",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "44077",
            "telephone_number": "440-477-4074"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Cosmetic Laser Inc",
            "address_2": "133 Up Main Ave",
            "address_purpose": "LOCATION",
            "city": "Chardon",
            "state": "OH",
            "postal_code": "44024",
            "country_code": "US",
            "telephone_number": "440-477-4074",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NELSON",
        "first_name": "ELAINE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "COSMETIC THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-27",
        "last_updated": "2020-01-27",
        "certification_date": "2020-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": "OH",
            "license": "32.012312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Neal
• Lisa M Nedley, PA-C
• Cynthia Negrete
• Neighboring
• Michael V Neitzel, RN
• Elizabeth Nelson, LPCC-S
• Karen Nelson
• Kate Alexandra Nelson, QMHS
• Kyle Nelson
• Scott M Nelson, M.D.

• Other Technician in Mentor, OH
• Providers in Mentor, OH by specialty
• Other Technician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2020; 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.