Active NPI
Laron Earnest Nelson
- Family Nurse Practitioner
- New York, NY
National Provider Identifier
1255089280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 334540
- Practice address
- 5 E 44TH St Apt 19
New York, NY 10017-3641 - Phone
- (813) 317-1689
- NPI assigned
- Mar 18, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 535644 | NY | |
| Family Nurse Practitioner | 363LF0000X | 334540 | NY | Primary |
Addresses
Primary practice location
5 E 44TH St Apt 19
New York, NY 10017-3641
Mailing address
5 E 44TH St Apt 19
New York, NY 10017-3641
Phone (813) 317-1689
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | tuliptree.io | Direct |
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 |
|---|---|---|---|
| 535644 | NY | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647561600000",
"number": "1255089280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 E 44TH ST APT 19",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100173641",
"telephone_number": "813-317-1689"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 E 44TH ST APT 19",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100173641",
"telephone_number": "813-317-1689"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "LARON",
"middle_name": "EARNEST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-03-18",
"last_updated": "2022-03-18",
"certification_date": "2022-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "535644",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "334540",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "tuliptree.io",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "5 E 44th St Apt 19",
"city": "New York",
"state": "NY",
"country_code": "US",
"postal_code": "100173641",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.