Neil Nordstrom, DNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN241808 Issued in MA

Practice address

294 N Main St
East Longmeadow, MA 01028-1838

Phone

(413) 525-1870

Fax

(413) 525-3883

NPI assigned

Oct 17, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Donald Neil Nordstrom Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/374254e6-8a71-4f61-90b5-064a630a4cd8/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pediatric Services of Springfield, Inc.

  • Pediatric Adolescent Medicine Physician
  • East Longmeadow, MA
  • NPI 1790886091
  NPD (past) Authorized official

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

{
    "created_epoch": "1350432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350432000000",
    "number": "1174876981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "294 N MAIN ST",
            "city": "EAST LONGMEADOW",
            "state": "MA",
            "postal_code": "010281838",
            "telephone_number": "413-525-1870",
            "fax_number": "413-525-3883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "294 N MAIN ST",
            "city": "EAST LONGMEADOW",
            "state": "MA",
            "postal_code": "010281838",
            "telephone_number": "413-525-1870",
            "fax_number": "413-525-3883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORDSTROM",
        "first_name": "NEIL",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-10-17",
        "last_updated": "2012-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN241808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DONALD",
            "last_name": "NORDSTROM",
            "middle_name": "NEIL",
            "prefix": "DR.",
            "credential": "DNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Nancy N Ngaruiya
• Dan Thanh Linh Nguyen, DMD
• Trinh Nguyen, PHARMD
• Nilaab Noori
• Leif George Nordstrom, M.D.
• Northeast Orthopaedic Alliance PLLC
• William Paul Nowlan, LATC
• NSL East Village Place LLC
• Kayla O'Malley, D.P.M.
• Mary D Obermeier, RN

• Family Nurse Practitioner in East Longmeadow, MA
• Providers in East Longmeadow, MA by specialty
• Family Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2012; 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.