Richard Arthur Nelson

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

036048194 Issued in IL

Practice address

6 Hathaway Cres
Sugar Grove, IL 60554-4137

Phone

(630) 466-4630

NPI assigned

Jan 24, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Richard .........A. Nelson Professional name

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": "1358985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358985600000",
    "number": "1235477381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 HATHAWAY CRES",
            "city": "SUGAR GROVE",
            "state": "IL",
            "postal_code": "605544137",
            "telephone_number": "630-466-4630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 HATHAWAY CRES",
            "city": "SUGAR GROVE",
            "state": "IL",
            "postal_code": "605544137",
            "telephone_number": "630-466-4630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "RICHARD",
        "middle_name": "ARTHUR",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-01-24",
        "last_updated": "2013-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IL",
            "license": "036048194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RICHARD",
            "last_name": "NELSON",
            "middle_name": ".........A.",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Joseph Minardi, D.C.
• Viral Modi
• Joseph N Mork, PA-C
• Morgan Marie Motley, M.S., BCBA, LBA-IL
• Suhayb Mustafa
• Beth Alison Obremski, OTR/L
• Patricia M Oie, APN
• Danielle M Ortiz, DO
• Oana Mihaela Patrascu, M.D.
• Andrea Peach, RN, IBCLC

• Neurology Physician in Sugar Grove, IL
• Providers in Sugar Grove, IL by specialty
• Neurology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2013; 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.