Tracy Lea Nelson

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

306 Sunset Dr
Beckley, WV 25801-2828

Phone

(304) 860-6653

NPI assigned

Dec 16, 2021

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

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

{
    "created_epoch": "1639612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639612800000",
    "number": "1205595337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 SUNSET DR",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258012828",
            "telephone_number": "304-860-6653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 SUNSET DR",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258012828",
            "telephone_number": "304-860-6653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "TRACY",
        "middle_name": "LEA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-16",
        "last_updated": "2021-12-16",
        "certification_date": "2021-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Nellum
• Kimberly Dawn Nellum
• Elizabeth T Nelson, MD
• Laura Nelson, MSW, LCSW
• Matthew K Nelson, M.D.
• Karlee Nesselrodt, SLP
• New Direction
• New Lifeclinics Inc
• New River Health Association, Inc.
• New River Health Association, Inc.

• Case Manager/Care Coordinator in Beckley, WV
• Providers in Beckley, WV by specialty
• Case Manager/Care Coordinator in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2021; 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.