Active NPI
Kerry Layne Nelson, DPH
- Pharmacist
- Alexandria, LA
National Provider Identifier
1215364807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 16539
- Practice address
- 3330 Masonic Dr
Alexandria, LA 71301-3841 - Phone
- (318) 466-6413
- NPI assigned
- Sep 27, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 16539 | LA | Primary |
Addresses
Primary practice location
3330 Masonic Dr
Alexandria, LA 71301-3841
Mailing address
3330 Masonic Dr
Alexandria, LA 71301-3841
Phone (318) 466-6413
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16539 | LA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477267200000",
"number": "1215364807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3330 MASONIC DR",
"city": "ALEXANDRIA",
"state": "LA",
"postal_code": "713013841",
"telephone_number": "318-466-6413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3330 MASONIC DR",
"city": "ALEXANDRIA",
"state": "LA",
"postal_code": "713013841",
"telephone_number": "318-466-6413"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "KERRY",
"middle_name": "LAYNE",
"name_prefix": "Mr.",
"credential": "DPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-09-27",
"last_updated": "2016-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "16539",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alexandria, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.