Active NPI
Kathryn S Nelson, ARNP
- Nurse Practitioner
- Spencer, IA
National Provider Identifier
1184724007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- A-056987
- Practice address
- 337 11TH St SW
Spencer, IA 51301-5849 - Phone
- (712) 580-4570
- Fax
- (712) 580-4573
- NPI assigned
- Sep 22, 2006
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | A-056987 | IA | Primary |
Addresses
Primary practice location
337 11TH St SW
Spencer, IA 51301-5849
Mailing address
337 11TH St SW
Spencer, IA 51301-5849
Phone (712) 580-4570
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 056987 | Other | IA | IA NURSING LICENSE |
| 1184724007 | Medicaid | IA | |
| A-056987 | Other | IA | ARNP LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A-056987 | IA | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421193600000",
"number": "1184724007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "337 11TH ST SW",
"city": "SPENCER",
"state": "IA",
"postal_code": "513015849",
"telephone_number": "712-580-4570",
"fax_number": "712-580-4573"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "337 11TH ST SW",
"city": "SPENCER",
"state": "IA",
"postal_code": "513015849",
"telephone_number": "712-580-4570",
"fax_number": "712-580-4573"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "KATHRYN",
"middle_name": "S",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-22",
"last_updated": "2015-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IA",
"license": "A-056987",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IA NURSING LICENSE",
"identifier": "056987",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1184724007",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARNP LICENSE",
"identifier": "A-056987",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Spencer, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.