Nii Otabil Nelson

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

9904L Issued in CO

Practice address

10107 Westview Dr
167
Houston, TX 77043-4486

Phone

(281) 220-7147

Fax

(281) 220-7147

NPI assigned

Jan 18, 2007

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

• Nii Otabil 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": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245382027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10107 WESTVIEW DR",
            "address_2": "167",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770434486",
            "telephone_number": "281-220-7147",
            "fax_number": "281-220-7147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10107 WESTVIEW DR",
            "address_2": "167",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770434486",
            "telephone_number": "281-220-7147",
            "fax_number": "281-220-7147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "NII",
        "middle_name": "OTABIL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CO",
            "license": "9904L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NII",
            "last_name": "NELSON",
            "middle_name": "OTABIL",
            "credential": "M.D.,L.S.A.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Mary E Nelson
• Melissa Nelson, CNM, WHNP-BC
• Michael Scott Nelson, PA-C
• Mitchel Nelson, PA
• Naomi Dawn Nelson, PHD
• Nonye Uchechi Nelson, NP
• Randolph Alvin Nelson, M.D.
• Richard Harvey Nelson, CPO
• Rita Nelson
• Rodrique Dewyane Nelson, CRNA

• Surgical Physician Assistant in Houston, TX
• Providers in Houston, TX by specialty
• Surgical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.